Abstract:OBJECTIVE To investigate pharmaceutical care working mode and effect within pain management implemented by clinical pharmacists against patients with biliary tract day surgery. METHODS The path-based analgesia plan for ambulatory biliary surgery, the work model of the perioperative pain management team, the postoperative pain medication plan, and the evaluation of the analgesic management effect have been formulated by clinical pharmacists. A total of 301 patients who underwent laparoscopic cholecystectomy in our hospital from October 2017 to October 2019 were selected to compare the analgesic effects of clinical pharmacists before and after the pain management of biliary tract day surgery. RESULTS With the pathway-based analgesia management program, the effectiveness and safety of postoperative analgesia for patients are promoted, and the hospital stay cut down. CONCLUSION The clinical pharmacist's participation in biliary tract day surgery pain management model is effective and safe, and it can provide reference for clinical pharmacists to intervene in day surgery medication management.
谢菡, 薛敏, 丁艺, 马正良, 仇毓东, 葛卫红. 临床药师参与胆道日间手术疼痛管理工作模式与成效[J]. 中国药学杂志, 2021, 56(9): 770-775.
XIE Han, XUE Min, DING Yi, MA Zheng-liang , QIU Yu-dong, GE Wei-hong. Working Mode and Effect of Pain Management during Ambulatory Biliary Surgery by Clinical Pharmacist. Chinese Pharmaceutical Journal, 2021, 56(9): 770-775.
FAN Z Y, YIN X Q, LUO J, et al. Impact of clinical pharmacist in multiple disciplinary team builing of enhanced recovery after surgery[J]. Chin J Mod Appl Pharm(中国现代应用药学), 2019, 36(19):2491-2495.
[2]
HUANG L, HUANG X L, LUO X, et al. Current situation and thoughts on the development of ambulatory surgery at home and abroad[J]. Chin Health Qual Manage (中国卫生质量管理), 2020, 27(4):33-37.
[3]
XIE H, MA Z L, CHEN Z X, et al.Role of clinical pharmacists in perioperative pain management under collaborative drug therapy management model[J]. Chin J Clin Pharm(中国临床药学杂志), 2019, 28(4):282-285.
[4]
XIE H, LU L J, MA Z L, et al. Working mode and effect of pain clinic provided by clinical pharmacists[J]. Chin Hosp Pharm J(中国医院药学杂志), 2018, 38(12):1247-1249,1255.
[5]
XIE H, MA Z L, CHEN Z X, et al. The role and working model of clinical pharmacists in multidisciplinary pain management team[J]. Pharm Clin Res (药学与临床研究), 2015, 23(3):331-336.
[6]
XIE H, MA Z L, QIU Y D, et al. The working mode and effectiveness of clinical pharmacists involved in postoperative patient-controlled analgesia pump management[J]. Chin Pharm J(中国药学杂志), 2019, 54(19):1622-1625.
[7]
XIE H, GE W H. A preliminary study on the cancer pain management with clinical pharmacist participation[J]. Anhui Med Pharm J(安徽医药), 2013, 17(11):1978-1980.
[8]
XIE H, GE W H. Preliminary study on the working mode of clinical pharmacists in pain department[J]. Chin J Clin Pharm(中国临床药学杂志), 2013, 22(2):113-115.
[9]
Specialized Committee of Accelerated Rehabilitation Surgery, Chinese Society of Research Hospitals .Expert consensus on the standardized procedure of ambulatory surgery in biliary surgery(2018)[J]. Chin J Surg(中华外科杂志), 2018, 56(5):321-327.
[10]
Surgery Branch of Chinese Medical Association. Chinese expert consensus and path management guidelines for accelerated rehabilitation surgery(2018)[J]. Chin J Pract Surg (中国实用外科杂志), 2018, 38(1):1-20.
[11]
Biliary Surgeons Committee of Surgeons Branch of Chinese Medical Doctor Association. Expert consensus on accelerated rehabilitation of biliary surgery(2016)[J]. Chin J Digest Surg(中华消化外科杂志), 2017, 16(1):6-13.
[12]
XUE J G. Expert consensus on pain management after surgery in adults[J]. J Clin Anesth (临床麻醉学杂志), 2017, 33(9):911-917.