中国医药
中國醫藥
중국의약
CHINA MEDICINE
2012年
11期
1359-1360
,共2页
于珊珊%吴荣荣%凌海慧%刘淼%刘峰群%魏振满
于珊珊%吳榮榮%凌海慧%劉淼%劉峰群%魏振滿
우산산%오영영%릉해혜%류묘%류봉군%위진만
获得性免疫缺陷综合征%结核,肺%药学%药物疗法管理
穫得性免疫缺陷綜閤徵%結覈,肺%藥學%藥物療法管理
획득성면역결함종합정%결핵,폐%약학%약물요법관리
Acquired immunodeficiency syndrome%Tuberculosis,pulmonary%Pharmacy%Medication therapy management
目的 探讨临床药师对1例艾滋病合并肺结核患儿实施药学监护实践的经验与体会.方法 深入临床,发现实际存在或潜在的用药问题,协助医师调整治疗方案,对患儿进行健康用药教育,包括①抗结核“四联”方案可能引起尿色发红、消化道症状、肝功能损害、皮疹等；②抗病毒治疗时应防止阳光照射皮肤,避免烈性皂类；③定期监测血常规、血脂、乳酸、肝功能等.结果 治疗2d后,患儿抗巨细胞病毒抗体弱阳性,结核病治疗14 d出院；出院时肝功能ALT由入院时84 U/L降至43 U/L.临床药师充分发挥药学专长,提高了临床治疗效果.结论 临床药师参与临床药物治疗,可促进药物合理使用.
目的 探討臨床藥師對1例艾滋病閤併肺結覈患兒實施藥學鑑護實踐的經驗與體會.方法 深入臨床,髮現實際存在或潛在的用藥問題,協助醫師調整治療方案,對患兒進行健康用藥教育,包括①抗結覈“四聯”方案可能引起尿色髮紅、消化道癥狀、肝功能損害、皮疹等；②抗病毒治療時應防止暘光照射皮膚,避免烈性皂類；③定期鑑測血常規、血脂、乳痠、肝功能等.結果 治療2d後,患兒抗巨細胞病毒抗體弱暘性,結覈病治療14 d齣院；齣院時肝功能ALT由入院時84 U/L降至43 U/L.臨床藥師充分髮揮藥學專長,提高瞭臨床治療效果.結論 臨床藥師參與臨床藥物治療,可促進藥物閤理使用.
목적 탐토림상약사대1례애자병합병폐결핵환인실시약학감호실천적경험여체회.방법 심입림상,발현실제존재혹잠재적용약문제,협조의사조정치료방안,대환인진행건강용약교육,포괄①항결핵“사련”방안가능인기뇨색발홍、소화도증상、간공능손해、피진등；②항병독치료시응방지양광조사피부,피면렬성조류；③정기감측혈상규、혈지、유산、간공능등.결과 치료2d후,환인항거세포병독항체약양성,결핵병치료14 d출원；출원시간공능ALT유입원시84 U/L강지43 U/L.림상약사충분발휘약학전장,제고료림상치료효과.결론 림상약사삼여림상약물치료,가촉진약물합리사용.
Objective To discuss clinical experience and perspectives of pharmaceutical care for acquired immune deficiency syndrome complicated by pulmonary tuberculosis patients.Methods The actual orhidden problems of clinical drug use were detected by clinical pharmacists during clinical practice,which helped physician adjust treatment program and conduct health education.Results Two days after treatment,cytomegalovirus antibodies was weakly positive.After treatment for 14 days,the tuberculsis was cured and the child discharged from hospital,and the level of alanine transarninase decreased from 84 U/L to 43 U/L.Clinical pharmacists improved clinical therapeutic efficacy.Conclusion Clinical pharmacists can promote rational drug use by participating in clinical chug treatment.
