疑似TP方案化疗致神经病理性头痛的药物治疗管理实践与思考  

Practice and Reflection on Medication Therapeutical Management for Neuropathic Headache Caused by Suspected TP Regimen Chemotherapy

作　　者：戚姝娅 张玉君 杜宁 刘欣琦 费小非 李璐 李国辉 QI Shu-ya;ZHANG Yu-jun;DU Ning;LIU Xin-qi;FEI Xiao-fei;LI Lu;LI Guo-hui(Department of Pharmacy,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100021,China;Department of Traditional Chinese Medicine,National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100021,China)

机构地区：[1]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院药剂科,北京100021 [2]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院中医科,北京100021

出　　处：《中国合理用药探索》2024年第9期110-115,共6页Chinese Journal of Rational Drug Use

基　　金：首都卫生发展科研专项项目(首发2022-2-4028)。

摘　　要：目的:基于药物治疗管理(MTM)模式流程,梳理分析1例疑似TP方案化疗致神经病理性头痛的病例资料,为临床药学工作开展提供参考。方法:纳入1例疑似TP方案化疗致神经病理性头痛患者,根据MTM模式流程,临床药师开展信息采集、用药记录、提出干预建议、随访等环节的全流程药学工作,并结合文献学习,为临床提供药学诊疗建议。结果:临床药师辅助临床医生发现并解决多周期化疗致神经病理性头痛的临床问题,提出处理措施,同时形成规范化的药学工作记录。结论:临床药师依托MTM模式流程中的核心环节开展临床药学工作,并依次形成工作表单存档,初步实现标准化、规范化及全流程化的工作模式,提高临床工作效率。Objective:Based on the process of medication therapeutical management(MTM)model,the data of a case of neuropathic headache caused by suspected TP regimen chemotherapy were analyzed to provide reference for clinical pharmacy work.Methods:One patient with neuropathic headache due to suspected TP regimen chemotherapy was included.According to the MTM model process,clinical pharmacists carried out the whole process of pharmaceutical work including information collection,medication records,intervention suggestions,follow-up visits,etc.,and combined with literature study,provided clinical pharmaceutical treatment suggestions.Results:Clinical pharmacists assist clinicians to identify and solve the clinical problems of neuropathic headache caused by multi-cycle chemotherapy,propose treatment measures,and form standardized pharmaceutical work records.Conclusion:Clinical pharmacists rely on the core links in the MTM model process to carry out clinical pharmacy work and sequentially form work forms for archiving,initially realizing a standardized,normalized and full-process work mode and improving clinical work efficiency.

关 键 词：TP方案化疗 神经病理性头痛 临床药学服务 药物治疗管理 药品不良反应 

分 类 号：R745[医药卫生—神经病学与精神病学]