临床药师参与1例晚期乳腺癌疼痛治疗的实践体会并文献复习  

Pharmaceutical Care and Experience of a Case With Advanced Cancer Pain Provided by Clinical Pharmacists and Literature Review

作　　者：林小燕[1] 庄俊鹏[1] 黄惠娇[1] 

机构地区：[1]福建医科大学附属漳州市医院药学部,福建漳州363000

出　　处：《哈尔滨医药》2017年第4期379-380,共2页Harbin Medical Journal

摘　　要：目的探讨临床药师参与晚期癌痛患者止痛治疗中的作用。方法结合1例晚期癌痛患者具体病例,在患者住院过程中从癌痛的全面评估方法、止痛药物合理选择、药品不良反应等方面为患者提供药学服务并进行药学监护。结果本次药学监护在保障患者用药安全、减轻患者疼痛症状等方面取得明显效果,提高了临床药物治疗水平。结论临床药师深入临床直接面向晚期癌痛患者提供药学服务,开展药学监护,可在药物选择、防范严重药品不良反应发生等多个方面保障患者用药安全,体现临床药师价值。Objective To explore the role of clinical pharmacists in pain management of advanced cancer.Methods Based on one case with advanced cancer pain, clinical pharmacist provided pharmaceutical care for the patient including comprehensive assessment on cancer pain, drug selection for rapid titration of opioid drugs, maintenance treatment principle, and prevention of ad- verse drug reactions.Results The pharmaceutical care ensured patient safety,improved the quality of life,and improved patient me dication compliance to achieve significant effect and improved pharmacotherapy level.Conclusion Clinical pharmacists guaranteed the safety of drug use and showed their value through providing pharmaceutical care for patients with cancer pain directly,developing pharmaceutical monitoring, selecting drugs rationally, avoiding drug interactions and preventing serious adverse drug reactions.

关 键 词：癌痛 药学监护 

分 类 号：R730.4[医药卫生—肿瘤]