CAJ | 학술논문

目的：：临床药师通过对1例颅内胶质瘤术后化疗患者的药学服务，探讨临床药师如何对肿瘤患者进行药学监护。方法：临床药师以抗肿瘤药物的用法、药物相互作用、药物不良反应、出院用药指导等作为切入点，根据患者病情提出用药方案调整，给临床医师提出合理化治疗建议。结果：该患者在调整后的治疗方案中无严重不良反应发生，治疗效果满意。结论：临床药师的药学监护发挥了较重要的作用，保证患者用药安全有效。
목적：：림상약사통과대1례로내효질류술후화료환자적약학복무，탐토림상약사여하대종류환자진행약학감호。방법：림상약사이항종류약물적용법、약물상호작용、약물불량반응、출원용약지도등작위절입점，근거환자병정제출용약방안조정，급림상의사제출합이화치료건의。결과：해환자재조정후적치료방안중무엄중불량반응발생，치료효과만의。결론：림상약사적약학감호발휘료교중요적작용，보증환자용약안전유효。
Objective:To investigate the role of clinical pharmacists in the process of chemotherapy for a patient with intracranial glioma. Methods:Usage and dosage of antitumor drugs, drug interactions, adverse drug reactions and medication education after dis-charged as the breakthrough points, clinical pharmacists and clinicians explored options for the patient treatment and adjusted the medi-cation timely according to the condition. Results:There were no serious adverse drug reactions in the adjusted therapeutic regimen and the treatment results of the patient were satisfactory. Conclusion:Clinical pharmacists provide pharmaceutical care can play an impor-tant role in improving the safety and effectiveness of drug use.