临床药师对原发性血小板减少性紫癜合并侵袭性肺曲霉病患者的动态药学监护  

Dynamic Pharmaceutical Care for Idiopathic Thrombocytopenic Purpura Complicated with Invasive Pulmonary Aspergillosis by Clinical Pharmacists

作　　者：罗忠勇[1] 邓志清[1] LUO Zhongyong;Deng Zhiqing(Dept.of Pharmacy,Loudi Central Hospital,Hunan Loudi 417000,China)

机构地区：[1]娄底市中心医院药剂科,湖南娄底417000

出　　处：《中国医院用药评价与分析》2018年第9期1289-1291,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:探讨临床药师在临床实践中开展动态药学监护的模式与方法。方法:回顾性分析临床药师参与的对1例原发性血小板减少性紫癜合并侵袭性肺曲霉病患者的动态药学监护过程。临床药师从抗感染、免疫抑制和止咳化痰等对症治疗方面,结合临床变化,动态分析药物治疗情况,提供建设性的治疗建议,协助医师制订最佳的治疗方案。结果:临床药师的建议大多被采纳,患者发热、咳嗽及胸闷气促等症状较前明显好转。结论:临床药师对整个临床治疗过程进行的动态药学监护,提高了药物治疗效果和患者的生活质量,减少了严重的药品不良反应的发生。OBJECTIVE： To probe into the mode and method of dynamic pharmaceutical care carried out by clinical pharmacists in clinical practice. METHODS： Retrospective analysis of dynamic pharmacological care for a patient with primary thrombocytopenic purpura and invasive pulmonary aspergillosis was performed by the clinical pharmacists. In view of anti-infective,immunosuppressive,cough and phlegm and other symptomatic treatment,combined with clinical changes, the clinical pharmacists dynamically analyzed the drug treatment, provided constructive treatment recommendations and assisted the physicians to develop the optimization treatment regimen.RESULTS： Most of the recommendations of clinical pharmacists were adopted,and the symptoms of fever,cough,chest tightness and shortness of breath were significantly improved. CONCLUSIONS： The dynamic pharmaceutical care of clinical pharmacists for the whole process of clinical treatment improves the effect of drug treatment and the quality of life of the patients and reduces the occurrence of sever adverse drug reactions.

关 键 词：动态药学监护 原发性血小板减少性紫癜 侵袭性肺曲霉病 临床药师 

分 类 号：R97[医药卫生—药品]