| ABSTRACT Objective:To revaluate the rationality and utilization of the traditional Chinese medicine injections (TCMIs) of the department of encephalopathy，and to search the benefit and model of traditional Chinese medical clinical pharmacist services. Methods:120 medical records from the department of encephalopathy in certain hospital during 2014 were selected stratified randomly. Medication rationality evaluation, drug utilization study comprehensive method, were used to evaluat some rationality encephalopathy of TCMIs in clinical use in certain hospital; the change of the indicators before and after the implementation of pharmaceutical care by traditional Chinese medical clinical pharmacist were compared. Results:The usage rate of TCMIs in the hospital was 89.17%, among which blood regulating recipes took the major efficacy(94.54%), drug combination given priority with 1 species (55.14%) and 2 species (32.71%), those were given priority to elderly patients. Among each assignment of TCMIs use reasonable percentage, differentiation of Traditional Chinese medicine disease(42.25%), TCM differentiation(0%), Solvent selection(11.32%) and dosage of administration(41.51%) were relatively low. Average total score percentage swings was consistent with the basic value(54.24%). Drug utilization study suggested that Traditional Chinese medicine over concentration was severe(aDDDs/aDDCs=18.90/59.21，dDUI/cDUI=1.16/3.63);The drug utilization index(dDUI/cDUI) after carry out pharmaceutical care tended to be rational. Conclusion:It should strengthen that the Pharmacist monitoring TCMIs in clinical use, espacially differentiation of Traditional Chinese medicine disease, TCM differentiation, Solvent selection,dosage of administration and carnitine concentration, played a positive role in clinical rational use of TCM injections. |
