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
11期
1025-1028
,共4页
动态药学监护%慢性阻塞性肺疾病急性加重期%临床药师
動態藥學鑑護%慢性阻塞性肺疾病急性加重期%臨床藥師
동태약학감호%만성조새성폐질병급성가중기%림상약사
Dynamic pharmaceutical care%Acute exacerbation of chronic obstructive pulmonary disease%Clinical pharmacist
目的：探讨临床药师在临床实践中实施动态药学监护的模式与方法。方法：回顾分析临床药师参与1例慢性阻塞性肺疾病急性加重期合并Ⅱ型呼吸衰竭患者的动态药学监护，从抗感染、解痉平喘、扩血管改善微循环、祛痰等对症治疗方面，结合临床变化，动态分析药物治疗情况，提供建设性的治疗建议，协助医师制订最佳的治疗方案。结果：临床药师的建议大多被采纳，患者咳嗽、胸闷、气促、Ⅱ型呼吸衰竭等较前明显好转。结论：临床药师对整个临床治疗过程进行的动态药学监护，提高了药物治疗效果和患者生活质量，并避免了药品严重不良反应的发生。
目的：探討臨床藥師在臨床實踐中實施動態藥學鑑護的模式與方法。方法：迴顧分析臨床藥師參與1例慢性阻塞性肺疾病急性加重期閤併Ⅱ型呼吸衰竭患者的動態藥學鑑護，從抗感染、解痙平喘、擴血管改善微循環、祛痰等對癥治療方麵，結閤臨床變化，動態分析藥物治療情況，提供建設性的治療建議，協助醫師製訂最佳的治療方案。結果：臨床藥師的建議大多被採納，患者咳嗽、胸悶、氣促、Ⅱ型呼吸衰竭等較前明顯好轉。結論：臨床藥師對整箇臨床治療過程進行的動態藥學鑑護，提高瞭藥物治療效果和患者生活質量，併避免瞭藥品嚴重不良反應的髮生。
목적：탐토림상약사재림상실천중실시동태약학감호적모식여방법。방법：회고분석림상약사삼여1례만성조새성폐질병급성가중기합병Ⅱ형호흡쇠갈환자적동태약학감호，종항감염、해경평천、확혈관개선미순배、거담등대증치료방면，결합림상변화，동태분석약물치료정황，제공건설성적치료건의，협조의사제정최가적치료방안。결과：림상약사적건의대다피채납，환자해수、흉민、기촉、Ⅱ형호흡쇠갈등교전명현호전。결론：림상약사대정개림상치료과정진행적동태약학감호，제고료약물치료효과화환자생활질량，병피면료약품엄중불량반응적발생。
OBJECTIVE:To explore the mode and method of dynamic pharmaceutical care carried out by clinical pharmacist in clinical practice.METHODS:A retrospective analysis was performed on clinical pharmacist’ practice of dynamic pharmaceutical care provided for one case of acute exacerbation of chronic obstructive pulmonary disease complicated by type Ⅱ respiratory failure.The clinical pharmacist gave dynamic analysis on medications including anti-infective, antispasmodic, antiasthmatic, vasodilative to improve microcirculation and phlegm expelling medications and other symptomatic treatment based on patient ’ clinical change and cooperate with physicians in making optimal therapeutic regimen by offering constructive recommendations on treatment.RESULTS:Most of clinical pharmacist’ s recommendations have been adopted, patients’ symptoms such as cough, chest tightness and shortness of breath and type Ⅱrespiratory failure improved markedly.CONCLUSIONS: Dynamic pharmaceutical care carried out by clinical pharmacist during the entire clinical treatment process resulted in improvement of therapeutic efficacy and patients’ quality of life meanwhile avoiding the occurrence of serious adverse drug reactions.
