临床药师参与1例支气管扩张合并慢性阻塞性肺疾病患者治疗的分析  

Clinical Pharmacist's Experience with Treatment of One Patient with Bronchiectasis Complicating Chronic Obstructive Pulmonary Disease

作　　者：李晓兰[1] 

机构地区：[1]焦作市第二人民医院药学部,河南焦作454001

出　　处：《中国医院用药评价与分析》2014年第8期760-762,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:探讨支气管扩张合并慢性阻塞性肺疾病(COPD)患者治疗用药的特点与注意事项,为临床合理用药提供参考。方法:介绍1例支气管扩张合并COPD患者的用药情况,评价药物治疗的合理性。结果:该患者通过抗过敏治疗、合理选用抗菌药物、营养支持、止咳化痰药和支气管扩张剂的应用,症状得到缓解、基本情况良好并出院。结论:正确的预防和控制感染,积极治疗基础疾病,保持呼吸道通畅是治疗支气管扩张合并COPD的有效方法。临床药师参与到支气管扩张合并COPD的治疗中,可发挥专业特长,能更好地为患者提供专业性的服务。OBJECTIVE：To discuss the characteristics and matters needing attention in drug use for patients with bronchiectasis complicating chronic obstructive pulmonary disease（COPD）so as to provide reference for clinical rational use of drugs. METHODS：The medication in one patient with bronchiectasis complicating COPD was introduced and the rationality of the medication was evaluated. RESULTS：With rational choice of antibiotics,anti-anaphylaxis therapy,nutritional support,cough-reliving and sputum-reducing and bronchial-dilating agents,the patient showed symptom relief and was discharged from hospital with good condition. CONCLUSIONS：Correct prevention and infection control,positive treatment of underlying diseases,maintenance of smooth respiratory passage are the effective measures for treatment of patients with bronchiectasis complicating COPD. Clinical pharmacist＇s involvement in the treatment of patients with bronchiectasis complicating COPD can bring their professional expertise into full play and provide better professional service for patients.

关 键 词：支气管扩张 慢性阻塞性肺疾病 药物治疗 病例分析 

分 类 号：R969.3[医药卫生—药理学]