中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
EVALUATION AND ANAL YSIS OF DRUG-USE IN HOSPITALS OF CHINA
2014年
9期
843-845
,共3页
亚急性甲状腺炎%糖皮质激素%药学监护%合理用药
亞急性甲狀腺炎%糖皮質激素%藥學鑑護%閤理用藥
아급성갑상선염%당피질격소%약학감호%합리용약
Subacute thyroiditis%Glucocorticoids%Pharmaceutical care%Rational use of drug
目的：探讨临床药师实施药学监护对临床合理、安全用药的重要性。方法：通过对1例亚急性甲状腺炎患者实施药学监护的过程，密切监测白细胞、中性粒细胞、血沉等变化，参与患者治疗方案的调整，对药品不良反应及时监测并提出药学干预建议。结果：患者白细胞及中性粒细胞上升与糖皮质激素泼尼松的使用密切相关。临床药师建议规范使用糖皮质激素+非甾体抗炎药治疗。医师采纳建议，患者症状减轻、好转出院。结论：对亚急性甲状腺炎患者的药学监护能提高患者用药安全性及合理性，从而提高治疗效果。
目的：探討臨床藥師實施藥學鑑護對臨床閤理、安全用藥的重要性。方法：通過對1例亞急性甲狀腺炎患者實施藥學鑑護的過程，密切鑑測白細胞、中性粒細胞、血沉等變化，參與患者治療方案的調整，對藥品不良反應及時鑑測併提齣藥學榦預建議。結果：患者白細胞及中性粒細胞上升與糖皮質激素潑尼鬆的使用密切相關。臨床藥師建議規範使用糖皮質激素+非甾體抗炎藥治療。醫師採納建議，患者癥狀減輕、好轉齣院。結論：對亞急性甲狀腺炎患者的藥學鑑護能提高患者用藥安全性及閤理性，從而提高治療效果。
목적：탐토림상약사실시약학감호대림상합리、안전용약적중요성。방법：통과대1례아급성갑상선염환자실시약학감호적과정，밀절감측백세포、중성립세포、혈침등변화，삼여환자치료방안적조정，대약품불량반응급시감측병제출약학간예건의。결과：환자백세포급중성립세포상승여당피질격소발니송적사용밀절상관。림상약사건의규범사용당피질격소+비치체항염약치료。의사채납건의，환자증상감경、호전출원。결론：대아급성갑상선염환자적약학감호능제고환자용약안전성급합이성，종이제고치료효과。
OBJECTIVE:To discuss the importance of clinical pharmacists’carrying out pharmaceutical care for clinical ratio-nal and safe medication. METHODS:Clinical pharmacist carried out pharmaceutical care for one case of subacute thyroiditis by providing close monitoring on white blood count(WBC),neutrophils and erythrocyte sedimentation rate,adjusting therapeutic regi-men together with physicians,timely monitoring adverse drug reactions and making recommendations on pharmacy intervention. RESULTS:The increase in WBC and neutrophils was closely associated with the use of the glucocorticoid prednisone. Clinical phar-macist’s recommendation on standardized use of corticosteroids plus non-steroidal anti-inflammatory drug therapy was adopted by the physician. After treatment,patient’s symptom was relieved,improved and discharged from hospital. CONCLUSIONS:The pharmaceutical care results in the improvement in medication safety and rationality and enhancement of therapeutic efficacy in pa-tients with subacute thyroiditis.
