骨肉瘤行半骨盆截断术后幻肢痛患者的药学监护  

Pharmaceutical care of phantom limb pain after hemipelvic amputation for osteosarcoma

作　　者：李广瑞[1] 刘中华 LI Guang-rui;LIU Zhong-hua(Jinxiang Affiliated Hospital of Jining Medical University,Jining 272200,China)

机构地区：[1]济宁医学院附属金乡县人民医院,山东济宁272200

出　　处：《中国处方药》2024年第8期40-42,共3页Journal of China Prescription Drug

基　　金：山东省中医药科技项目(M-2023344)。

摘　　要：目的探讨临床药师在幻肢痛治疗中的药学监护作用。方法临床药师通过参与1例骨肉瘤患者行半骨盆截断术后幻肢痛的治疗,结合相关指南及文献,对治疗过程中可能引起尿潴留的可疑药物进行评估,并提出相应的治疗方案优化建议。结果临床药师判断文拉法辛引起尿潴留的可能性大,并提供调整用药方案。调整后,患者的尿潴留症状逐渐缓解消失,幻肢痛得到有效控制。结论临床药师参与幻肢痛的治疗,能发挥药学专业优势,保障患者用药安全、有效,加速患者康复。Objective To explore the role of clinical pharmacists in the pharmaceutical care of patients with phantom limb pain.Methods Clinical pharmacists participated in the treatment of phantom limb pain after hemipelvic amputation in a patient with osteosarcoma,combined with relevant guidelines and literature,evaluated the suspected drugs that caused urinary retention during the treatment,and proposed a corresponding optimized treatment plan.Results Clinical pharmacists determined that venlafaxine was likely to cause urinary retention,and provided an adjusted medication regimen.After the adjustment,the patient’s urinary retention gradually eased and disappeared,and the phantom limb pain was effectively controlled.Conclusion The involvement of clinical pharmacists participate in the treatment of phantom limb pain can leverage pharmaceutical professional advantages,ensuring the safety and efficacy of patient medication,and accelerating patient recovery.

关 键 词：幻肢痛 普瑞巴林 文拉法辛 尿潴留 药学监护 

分 类 号：R738.1[医药卫生—肿瘤] R969.3[医药卫生—临床医学]