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
10期
937-939,940
,共4页
衣斯坎达尔·乌马尔%艾力江·阿木提%朱艳华
衣斯坎達爾·烏馬爾%艾力江·阿木提%硃豔華
의사감체이·오마이%애력강·아목제%주염화
带状疱疹%抗病毒%更昔洛韦%伐昔洛韦%药学监护
帶狀皰疹%抗病毒%更昔洛韋%伐昔洛韋%藥學鑑護
대상포진%항병독%경석락위%벌석락위%약학감호
Herpes zoster%Antiviral%Ganciclovir%Acyclovir%Pharmaceutical care
目的:以1例带状疱疹继发性血小板减少症患者的药学监护过程为例,展现临床药学监护的工作方法,探讨药学监护在保证合理用药方面的价值。方法:临床药师通过科室查房、临床药学会诊等方式发现监护目标,全程参与药物治疗过程,分析药物治疗方案,协助调整和优化用药方案。结果:继发性血小板减少症与不合理使用抗病毒药相关,药师及时发布院内不合理用药警示:更昔洛韦不得用于带状疱疹的治疗。结论:临床药师开展药学监护有助于及时发现不合理用药导致的药物损伤,减少药物引发的不良事件,保证患者用药安全、有效、经济。
目的:以1例帶狀皰疹繼髮性血小闆減少癥患者的藥學鑑護過程為例,展現臨床藥學鑑護的工作方法,探討藥學鑑護在保證閤理用藥方麵的價值。方法:臨床藥師通過科室查房、臨床藥學會診等方式髮現鑑護目標,全程參與藥物治療過程,分析藥物治療方案,協助調整和優化用藥方案。結果:繼髮性血小闆減少癥與不閤理使用抗病毒藥相關,藥師及時髮佈院內不閤理用藥警示:更昔洛韋不得用于帶狀皰疹的治療。結論:臨床藥師開展藥學鑑護有助于及時髮現不閤理用藥導緻的藥物損傷,減少藥物引髮的不良事件,保證患者用藥安全、有效、經濟。
목적:이1례대상포진계발성혈소판감소증환자적약학감호과정위례,전현림상약학감호적공작방법,탐토약학감호재보증합리용약방면적개치。방법:림상약사통과과실사방、림상약학회진등방식발현감호목표,전정삼여약물치료과정,분석약물치료방안,협조조정화우화용약방안。결과:계발성혈소판감소증여불합리사용항병독약상관,약사급시발포원내불합리용약경시:경석락위불득용우대상포진적치료。결론:림상약사개전약학감호유조우급시발현불합리용약도치적약물손상,감소약물인발적불량사건,보증환자용약안전、유효、경제。
OBJECTIVE:To demonstrate the approach to clinical pharmaceutical care with the pharmaceutical care for one patient with herpes zoster and secondary thrombocytopenia as example, and discuss the role of the pharmaceutical care in the rational use of drug. METHODS: By performing ward round and clinical pharmaceutical consultation, pharmacist found the object of pharmaceutical care, participated in the whole treatment process of the patient, analyzed medication protocol, and assisted physicians in adjusting and optimizing medication regimen. RESULTS:The secondary thrombocytopenia is associated with irrational use of antiviral drugs. The pharmacist gave warnings on irrational use of drug in hospital by emphasizing that ganciclovir can not be used for herpes zoster. CONCULSIONS:The pharmaceutical care carried out by clinical pharmacists can help detect the drug-induced injury caused by irrational use of drugs, reduce the incidence of adverse drug events and ensure patients’ safe, effective and economic use of drugs.