Department Of Respiration Tianjin Jixian People’s Hospital From2009to2011in Hospitalized Patients With Chronic Obstructive Pulmonary Disease Drug Investigation And Analysis Of Rationality

Objective:Investigation and analysis of respiratory department in our hospital from2009to2011were the primary diagnosis for patients with chronic obstructive pulmonary disease using situation and trend analysis of antibacterial drugs, expectorant, peace asthma drugs and other symptomatic support the rationality of drug use, put forward to promote rational medication in clinical observations, so that patients with chronic obstructive pulmonary disease treatment is more safe and effective.Methods:A retrospective investigation method, select respiratory department in our hospital from2009to2011were the primary diagnosis for patients with chronic obstructive pulmonary disease326cases as the research object. A review of medical records of patients with the basic situation, the basic situation of antibacterial drugs, disease, expectorant peace asthma drugs and other symptomatic medication application situation, according to the unified standard to establish database, using EXCEL2003software for data processing. According to the Ministry of health to develop" management of chronic obstructive pulmonary disease code"(2011edition), Chinese Medical Association prepared" clinical practice guideline"(respiratory fascicle), people’s Medical Publishing House of the" new medicine"(seventeen edition), the Ministry of health expert committee of rational use of drugs prepared by the" Chinese physician pharmacists in clinical medication guide", related drug instruction, evaluation of chronic obstructive pulmonary disease patients during hospital admission for the application of drug.Results:Included in the study326cases of COPD of antibacterial drug use in case of a total of309, accounted for94.79%.48～72hours of antimicrobial treatment effect evaluation of283cases, which accounted for86.81%of the number of. Antibacterial drug DUI>1a total of7, expectorant and antiasthmatic drugs DUI>1there are3kinds of antibacterial drugs, combined application of more than two drugs combined.2863treatment orders, which have827orders exists unreasonable, unreasonable prescription ratio of28.89%, unreasonable for the performance of the main drug in larger or smaller, solvent selection and drug concentration is not reasonable, the unused group spacer fluid, not correct delivery order.Conclusions:1.This investigation shows, respiratory department of our hospital in COPD patients treated during the application of all drugs is basic and reasonable, clinicians are patients according to clinical findings, their pathophysiological state formulation of individualized treatment programs, while giving the appropriate antimicrobial, expectorant, anti-asthma drugs and other symptomatic and supportive therapy. But in some drugs on specific application, there are still some deficiencies, particularly the dosage, solvent selection, drug concentration and dripping speed, delivery order, combination, there are still some unreasonable phenomenon.2.To promote the Department of respiratory medicine reasonable application, based on the results of the survey made the following recommendations:clinical pharmacists should participate in the whole process of COPD patients, together with doctors make treatment plan; clinical pharmacists should pay attention to the link nurse administration; clinical pharmacists patients respond to treatment process for pharmaceutical care to patients and developing drug education.