1例狼疮危象的药学监护与用药分析  

Pharmaceutical Care and Medication Analysis of a Patient with Lupus Crisis

作　　者：郭柳青 占美[1] 吴逢波[1] GUO Liuqing;ZHAN Mei;WU Fengbo(Department of Clinical Pharmacy,West China Hospital of Sichuan University,Chengdu,Sichuan,China610041)

机构地区：[1]四川大学华西医院临床药学部,四川成都610041

出　　处：《中国药业》2021年第6期94-96,共3页China Pharmaceuticals

摘　　要：目的探讨狼疮危象治疗中药学监护的作用。方法分析医院收治的1例重症系统性红斑狼疮累及血液系统患者的临床资料。治疗过程中,临床药师结合自身的临床药学专业知识,从抗感染药物、保肝药、降压药的优化等方面为患者提供药学监护和用药教育。结果临床药师建议停用抗菌药物盐酸莫西沙星片,更换保肝治疗药物,调整抗高血压药物治疗方案,并对患者进行相关用药教育。医师和患者均认可并采纳临床药师的意见,患者病情好转出院。结论临床药师参与药学监护,可优化患者的用药方案,有助于提高疗效,改善预后,促进临床合理用药。Objective To investigate the role of pharmaceutical care in the treatment of patients with lupus crisis.Methods In the process of analyzing the clinical data of a patient with severe systemic lupus erythematosus involving the blood system in our hospital,clinical pharmacists combined with their own clinical pharmacy professional knowledge to provide pharmaceutical care and medication education for the patient from the optimization of anti-infective drugs,liver protective drugs and anti-hypertensive drugs.Results Clinical pharmacists recommended discontinuing anti-infective drugs(Moxifloxacin Hydrochloride Tablets),replacing liver-protective drugs,adjusting the anti-hypertensive drug treatment program,and providing medication monitoring and medication education for patients.Both the physician and patient agreed and accepted the opinions of clinical pharmacists,and the patient was discharged after recovered.Conclusion Through pharmaceutical care,clinical pharmacists can optimize the medication plan of patients,help to improve the curative effect and the prognosis,and promote clinical rational drug use.

关 键 词：狼疮危象 糖皮质激素 药学监护 合理用药 

分 类 号：R95[医药卫生—药学]