评估重症监护病房中药物相互作用的频率和类型:一个横截面研究
Rahim Baghaei1, Aysan Torabzadeh2, Hamid Sorayya3
1Patient Safety Research Center, Clinical Research Institute.
重症监护病房的患者经常经历药物相互作用,大多数是中度或严重的. 肝素和阿司匹林的相互作用率最高,突显了需要更好地管理ICU中的药物.
科学领域:
- 临床药房 临床药房
- 关键护理医学 关键护理医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 药物相互作用带来风险,从降低疗效到严重并发症.
- 重症监护室 (ICU) 的患者面临着由于复杂的多药学而增加的风险.
- 这项研究调查了住院ICU患者中药物相互作用的患病率.
研究的目的:
- 为了确定ICU患者药物相互作用的频率.
- 为了确定药物相互作用的类型和严重程度.
- 分析在重症监护中药物相互作用的促成因素.
主要方法:
- 横截面研究分析了300名ICU患者的病历.
- 使用Lexicomp软件和"药物代事实"识别的药物相互作用.
- 使用SPSS 21软件分析数据.
主要成果:
- 总共有1121种药物相互作用被确定.
- 大多数患者 (77%) 经历了中度相互作用;严重的相互作用发生在22.3%的患者中.
- 肝素和阿司匹林组合是最常见的相互作用 (58例).
结论:
- 在ICU中药物相互作用的高患病率需要改进药物管理.
- 多药和特定药物组合是相互作用的关键因素.
- 定期的药物审查和谨慎的处方在重症监护机构中至关重要.
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