CAJ | 학술논문

目的：研究临床药师对肾内科患者抗菌药物选用的药学服务。方法选取我院肾内科2例患者对抗菌药物的选用进行药学服务，从药师对药物的选择、药物用量、出现不良反应的症状等方面进行观察。病例1患者由药师选择头孢哌酮舒巴坦、美洛培南等药物进对患者进行治疗；病例2患者药师给予氨曲南、法莫替丁、碳酸氢钠片、胃舒平片等药物进行治疗。并根据患者病情变化临床药师的经验选择用药时间。结果2例患者经临床医师的用药指导后，未出现明显的不良反应症状，药效有效的得到发挥，提高了患者药物的依从性。病例1患者用药后临床症状基本消失，血压也得到有效控制。病例2患者临床症状基本好转，中性粒细胞、白细胞、血清生物化验指标均比治疗前明显改善(P＜0.05）。结论对我院2例肾内科患者给予有效的药学服务，通过临床药师对肾内科患者进行抗菌药物的选择，用药方法指导、药物剂量及发生的不良反应症状给予分析，促使药物药效充分发挥，保证患者用药的安全、有效，减少病发症的产生。
목적：연구림상약사대신내과환자항균약물선용적약학복무。방법선취아원신내과2례환자대항균약물적선용진행약학복무，종약사대약물적선택、약물용량、출현불량반응적증상등방면진행관찰。병례1환자유약사선택두포고동서파탄、미락배남등약물진대환자진행치료；병례2환자약사급여안곡남、법막체정、탄산경납편、위서평편등약물진행치료。병근거환자병정변화림상약사적경험선택용약시간。결과2례환자경림상의사적용약지도후，미출현명현적불량반응증상，약효유효적득도발휘，제고료환자약물적의종성。병례1환자용약후림상증상기본소실，혈압야득도유효공제。병례2환자림상증상기본호전，중성립세포、백세포、혈청생물화험지표균비치료전명현개선(P＜0.05）。결론대아원2례신내과환자급여유효적약학복무，통과림상약사대신내과환자진행항균약물적선택，용약방법지도、약물제량급발생적불량반응증상급여분석，촉사약물약효충분발휘，보증환자용약적안전、유효，감소병발증적산생。
Objective?To?study?the?clinical?pharmacists?of?antimicrobial?drug?use?in?patients?with?renal?medicine?pharmaceutical?care.?Methods?To?choose?the?hospital?urology?department?2?patients?to?pharmaceutical?care,?the?selection?of?antimicrobial?agents?from?pharmacist's?choice?of?drug,?drug?dosage,?aspects?and?so?on?symptoms?of?adverse?reactions?were?observed.?Case?1?patients?chosen?by?pharmacists?cefoperazone?shuba,?and?beauty?from?the?south?and?other?drugs?in?treating?patients.?The?pharmacist?to?give?2?cases?ammonia?Aztreonam,?famotidine,?sodium?bicarbonate,?gastropin?pieces?and?drug?treatment.?And?according?to?the?experience?of?the?patient?condition?changes?of?clinical?pharmacists?to?choose?medication?time.?Results?2?cases?patients?after?clinical?physicians?guidelines,?without?obvious?adverse?reaction?symptoms,?efficacy?and?effective?work,?improve?the?compliance?of?patients?with?drugs.?Case?1?in?patients?with?clinical?symptoms?disappeared?basically,?the?medicine?blood?pressure?under?control.?Basic?cases?of?2?patients?with?clinical?symptoms?improve,?neutrophils,?white?blood?cells,?serum?biological?assay?indexes?were?obviously?improved?than?before?treatment?(P<0.05).?Conclusion?A?total?of?2?patients?with?renal?medicine?to?give?effective?pharmaceutical?care,?by?clinical?pharmacists?for?the?choice?of?antimicrobial?agents?in?patients?with?renal?medicine,?use?medicine?guidance,?doses?of?drugs?and?analyze?the?adverse?reactions?of?symptoms?occurring,?prompting?the?drug?efficacy?into?full?play,?to?ensure?the?safe?and?effective?for?treating?patients,?reduce?the?disease?onset?of?illness.