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新型冠状病毒肺炎疫情下定点救治医院的药学服务实践

陈靖赜 ，胡明乐 ，罗佳薇 ，张 薇 ，张定宇 （1.武汉市金银潭医院药剂科，武汉 430023；2.武汉市金银潭医
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2 #
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院院长办公室，武汉 430023）
中图分类号 R95 文献标志码 A 文章编号 1001-0408（2020）05-0536-04
DOI 10.6039/j.issn.1001-0408.2020.05.06
摘 要 目的：分享新型冠状病毒肺炎疫情下武汉市金银潭医院（以下简称“我院”）的药学服务实践经验，以期为其他医院应对突
发公共卫生事件提供参考。方法：总结分享我院药剂科在新型冠状病毒肺炎疫情下的药学服务情况，包括疫情防控管理（区域划
分、消毒管理、药学人员培训）、药品和消毒品供应以及信息化的合理用药监控和宣教。结果：我院药剂科根据工作人员活动范围、
接触人员情况将活动范围划分为清洁区、潜在污染风险区和半污染区，并执行不同的消毒管理；对药师进行全员培训，内容包括个
人卫生防护、新型冠状病毒肺炎防控知识、身体健康状况监测等；在药品和消毒品供应保障中，协助临床制订本院疫情用药目录，
针对性地采购药品和消毒品，并进行规范存储；在临床药学室设置24 h应答电话，随时接受临床医师对于药品使用的咨询，并对新
型冠状病毒肺炎诊疗方案提到的药品从作用机制、特殊人群用药等方面进行比较，制成表格上传共享，帮助临床合理选择治疗用
药。结论：新型冠状病毒肺炎定点救治医院的药学服务是专业性强、涉及面广的复杂工作，药剂科必须积极应对、及时调整策略，
以便在提高医疗救治能力的过程中发挥重要作用。
关键词 新型冠状病毒肺炎；定点救治医院；药学服务

Practice of Pharmaceutical Care in Designated Hospital under the Condition of Novel Coronavirus
Pneumonia Epidemic
CHEN Jingze ，HU Mingle ，LUO Jiawei ，ZHANG Wei ，ZHANG Dingyu （1.Dept. of Pharmacy，Wuhan
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Jinyintan Hospital，Wuhan 430023，China；2.Dept. of President’s Office，Wuhan Jinyintan Hospital，Wuhan
430023，China）
ABSTRACT OBJECTIVE：To share the experience of pharmaceutical care in Wuhan Jinyintan Hospital（herein after refers to
“our hospital”）under the condition of novel coronavirus pneumonia（COVID-19）epidemic，and to provide reference for other
hospitals to deal with public health emergencies. METHODS：The situation of pharmaceutical care in our hospital under the
condition of COVID-19 epidemic was summarized and shared，including the epidemic prevention and control management
（regional division，disinfection management，pharmacy personnel training），supply of drugs and disinfection products，the
monitoring and education of rational drug use by information technology. RESULTS：The pharmacy department of our hospital
divided the activity scope into clean area，potential pollution risk area，semi pollution area，and implement different disinfection
management. All pharmacists received training， involving personal health protection， prevention and control knowledge of
COVID-19，health status monitoring，etc. For supply and guarantee of drugs and disinfectants，the epidemic drug list of our
hospital was formulated，drugs and disinfectants were purchased accurately and stored in a standardized way. 24 h response
telephone was set up in the clinical pharmacy room to receive consultation from clinicians on drug use at any time. The drugs
mentioned in the COVID-19 diagnosis scheme were compared in terms of the mechanism of action and the medication of special
populations to form a tablet，so as to help clinical rational choice treatment drug. CONCLUSIONS：The pharmaceutical care in the
designated hospital of COVID-19 is a professional and complicated work，involving a wide range of aspects. Pharmacy department
must respond actively and adjust the strategy in time so as to play an important role in improving the ability of medical treatment.
KEYWORDS COVID-19；Designated hospital；Pharmaceutical care

在2019年12月湖北省武汉市出现的不明原因病毒 国家卫生健康委统一将该病毒感染所致疾病——新型
[2]
性肺炎患者体内发现了一种新型冠状病毒，后被国际病 冠状病毒肺炎的英文名称修订为“COVID-19”。国家
毒分类委员会命名为 SARS-CoV-2 。2020 年 2 月 21 日 卫生健康委员会根据《中华人民共和国传染病防治法》，
[1]
已将 COVID-19 纳入乙类传染病管理，并采取甲类传染
＊副主任药师。研究方向：医院药学。电话：027-85509758。E-
病防控措施 。
[3]
mail：420546483@qq.com
# 通信作者：主任医师，博士。研究方向：医院管理。电话：027- 武汉市金银潭医院（以下简称“我院”）自2019年12
85509005。E-mail：1813886398@qq.com 月29日开始，先后收治了9例来自华南海鲜市场不明原

·536 · China Pharmacy 2020 Vol. 31 No. 5 中国药房 2020年第31卷第5期