临床药师参与1例癌性神经病理性疼痛的药物治疗  

Clinical pharmacists’participation in the drug therapy of one case with malignant neuropathic pain

作　　者：李辉[1] 陈碧[1] 李洁[1] 王安发[1] 徐雨佳[1] LI Hui;CHEN Bi;LI Jie;WANG Anfa;XU Yujia(Pharmacy Department,the First People's Hospital of Chenzhou City,Chenzhou,Hunan,423000,China)

机构地区：[1]郴州市第一人民医院药学部,湖南郴州423000

出　　处：《肿瘤药学》2022年第2期252-255,共4页Anti-Tumor Pharmacy

基　　金：湖南省医学会临床药学科研基金项目(HMA202001013);湖南省科技厅创新型省份建设专项科普专题项目(2021ZK4383)。

摘　　要：目的探索临床药师在癌痛药物治疗中的作用。方法临床药师以会诊的形式参与1例重度癌痛患者的药物治疗。通过开展癌痛评估,结合患者用药史及临床表现,临床药师判断患者合并癌性神经病理性疼痛,出现阿片类药物耐受,针对性调整药物止痛治疗方案并指导患者用药。结果临床药师的参与有效减轻了患者的疼痛程度,提高了患者的生活质量。结论临床药师在癌痛的药物治疗中发挥了有效作用。Objective To investigate the role of clinical pharmacists in cancer pain medication.Methods The clinical pharmacist participated in the drug therapy of a case with serious malignant neuropathic pain in the form of consultation.The clinical pharmacist carried out an evaluation of cancer pain,and considered malignant neuropathic pain and opioid tolerance according to the history of drug use and clinical features of the patient.The clinical pharmacist suggested to adjust the analgesic treatment plan,and carried out medication education as well.Results The participation of clinical pharmacists effectively decreased the pain scores of the patient,and improved the quality of life.Conclusion The clinical pharmacist played an effective role in the drug therapy of the patient with cancer pain.

关 键 词：临床药师 癌性神经病理性疼痛 药物治疗 

分 类 号：R730.6[医药卫生—肿瘤]