CAJ | 학술논문

目的：探讨亚急性甲状腺炎合并肝功能异常及高血压患者的规范化药学服务方法及模式。方法本例患者的用药监护主要包括选择无需肝转化的氢化泼尼松注射液抗炎，注意氢化泼尼松的溶媒乙醇所致的过敏及双硫仑反应、调整氨氯地平及普萘洛尔给药时间。结果与结论患者亚急性甲状腺炎症状明显减轻，肝功能好转，血压控制正常，未发生药物不良反应。
목적：탐토아급성갑상선염합병간공능이상급고혈압환자적규범화약학복무방법급모식。방법본례환자적용약감호주요포괄선택무수간전화적경화발니송주사액항염，주의경화발니송적용매을순소치적과민급쌍류륜반응、조정안록지평급보내락이급약시간。결과여결론환자아급성갑상선염증상명현감경，간공능호전，혈압공제정상，미발생약물불량반응。
Objective To explore the standardization of pharmaceutical care methods and patterns used for the patient with subacute granuloma-tous thyroiditis complicated with hepatic dysfunction and hypertension. Methods Pharmaceutical care provided for this patient included selec-ting active hydroprednisone without hepatic metabolism, paying more attention to hydroprednisone-induced anaphylaxis and disulfiram reac-tion, and adjusting administration time of amlodipine and propranolol. Results and Conclusion Symptoms of this patient with subacute granu-lomatous thyroiditis and hepatic dysfunction were alleviated, blood pressure reduced significantly, and adverse drug reactions did not occurre by pharmaceutical care mentioned above.