CAJ | 학술논문

目的：通过参与1例35岁疑似肺结核女性患者的药物治疗实践过程，探讨涂阴肺结核患者的治疗方案及治疗过程中的药学监护重点。方法在本例疑似肺结核患者的诊治过程中，临床药师对抗结核治疗指征进行评估，对四联抗结核治疗方案进行评价，对卡介苗多糖核酸注射液及异烟肼雾化吸入的给药方式查证后进行干预，当患者出现血尿酸水平升高时，参考有关指南给予评估并给出处理意见，并重点对患者用药依从性进行宣传教育。结果临床药师通过认真分析患者病情，查阅相关指南，在药物治疗方面提出了合理化建议，并通过用药教育增加患者抗结核治疗的依从性，使本例疑似肺结核患者的治疗安全、合理。结论临床药师发挥自身专业特长通过协助临床医师及时、有效地制定治疗方案，为患者得到安全、有效的个体化治疗提供专业的药学服务。
목적：통과삼여1례35세의사폐결핵녀성환자적약물치료실천과정，탐토도음폐결핵환자적치료방안급치료과정중적약학감호중점。방법재본례의사폐결핵환자적진치과정중，림상약사대항결핵치료지정진행평고，대사련항결핵치료방안진행평개，대잡개묘다당핵산주사액급이연정무화흡입적급약방식사증후진행간예，당환자출현혈뇨산수평승고시，삼고유관지남급여평고병급출처리의견，병중점대환자용약의종성진행선전교육。결과림상약사통과인진분석환자병정，사열상관지남，재약물치료방면제출료합이화건의，병통과용약교육증가환자항결핵치료적의종성，사본례의사폐결핵환자적치료안전、합리。결론림상약사발휘자신전업특장통과협조림상의사급시、유효지제정치료방안，위환자득도안전、유효적개체화치료제공전업적약학복무。
Objective To explore the role of pharmaceutical care on smear‐negative tuberculosis patients through the practice partici‐pating in the treatment of a 35‐year‐old female patient with suspected pulmonary tuberculosis .Methods The pharmacists evalua‐ted whether this patient should accept antituberculous therapy ,evaluated the anti‐TB treatment ,suggested stopping improper us‐age of inhaling BCG polysaccharide and nucleic acid injection and isoniazid injection ,and educated the patient for better compli‐ance .During the therapy ,the serum uric acid level was found abnormally elevated .According to relevant guidelines ,pharmacists suggested giving some life intervention without drug treatment .Results Through analyzing patient′s condition ,pharmacists put forward rational suggestions on medical therapy .Patient′s compliance to anti‐TB treatment was increased and satisfactory thera‐peutic efficacy was acquired finally .Conclusion Clinical pharmacists assisted clinician to adjust the therapeutic regimen and pro‐vided professional pharmacy services for patients .