CAJ | 학술논문

目的：以对一例弥漫性泛细支气管炎病人诊疗的全过程参与和药学监护为例，说明临床药师需要参与对患者完整的医疗过程，不断地了解相关疾病的发生发展机制及相关诊治指南，从而拓展自身更为宽泛的用药思路，以便为用药提供良好的药学支持，并为临床医生提供可靠的药学信息服务。方法阐述临床对弥漫性泛细支气管炎的定义、临床诊断该病的诊断指标和具体的治疗方案。同时，结合我院收治的弥漫性泛细支气管炎患者的病例资料、诊治经过及治疗方案中相关药物的作用机制及使用剂量和临床药师在其中发挥的作用，对弥漫性泛细支气管炎患者的药学监护进行阐述。结果弥漫性泛细支气管炎是一种弥漫存在于两肺的呼吸性细支气管的气道慢性炎症性疾病，且在临床上易与其他慢性气道疾病混淆。而目前我国尚无诊断标准，主要还是参考他国诊断标准。对于治疗方案的选择还要根据患者的病例资料分析情况进行合理选择。结论临床药师在工作中需紧密联系病例的实际情况，熟悉医生的诊疗思路及相关疾病的发生发展机制，治疗进展，诊治指南，为临床提供更为可靠的药学知识及用药思路，更好地指导临床用药方案的制定。
목적：이대일례미만성범세지기관염병인진료적전과정삼여화약학감호위례，설명림상약사수요삼여대환자완정적의료과정，불단지료해상관질병적발생발전궤제급상관진치지남，종이탁전자신경위관범적용약사로，이편위용약제공량호적약학지지，병위림상의생제공가고적약학신식복무。방법천술림상대미만성범세지기관염적정의、림상진단해병적진단지표화구체적치료방안。동시，결합아원수치적미만성범세지기관염환자적병례자료、진치경과급치료방안중상관약물적작용궤제급사용제량화림상약사재기중발휘적작용，대미만성범세지기관염환자적약학감호진행천술。결과미만성범세지기관염시일충미만존재우량폐적호흡성세지기관적기도만성염증성질병，차재림상상역여기타만성기도질병혼효。이목전아국상무진단표준，주요환시삼고타국진단표준。대우치료방안적선택환요근거환자적병례자료분석정황진행합리선택。결론림상약사재공작중수긴밀련계병례적실제정황，숙실의생적진료사로급상관질병적발생발전궤제，치료진전，진치지남，위림상제공경위가고적약학지식급용약사로，경호지지도림상용약방안적제정。
Objective A case of the treatment for an sufferer of diffuse panbronchiolitis was taken to show the necessity for clinical pharmacists participating the whole process of medical treatment and pharmaceutical care,that’s will be helpful to understand what the therapeutic team consider and how to supply better medical and pharmaceutical service.Methods The clinical diagnosis index,the definition of diffuse panbronchiolitis clinical diagnosis of the disease and specific treatment.At the same time,according to our hospital of diffuse panbronchiolitis in patients with clinical data,mechanism of action and the dosage of diagnoses and treatment of medicine and clinical pharmacists in which the role of pharmaceutical care,diffuse panbronchiolitis were referred to.Results Diffuse panbronchiolitis is a diffuse in two lung respiratory bronchioles chronic inflammatory airway disease in clinic,and easily with other chronic airway diseases confusion.At present,there is no diagnostic criteria,mainly referring to his country's diagnostic criteria.For the choice of treatment depends on the clinical data of the patients with the situation of rational choice.Conclusions The clinical pharmacists to actual clinical situation closely related cases in the work,familiar with the diagnosis and treatment of a doctor,familiar with the occurrence and development mechanism,the treatment of related diseases diagnosis and treatment progress,guide,for clinical provides more knowledge of medicine and drug ideas and reliable,making better guide clinical medication.