中国药物警戒 ›› 2012, Vol. 9 ›› Issue (8): 503-505.

• 医院药事管理与合理用药 • 上一篇    下一篇

1例老年慢乙肝合并肝硬化腹水患者的用药监护

吴荣荣, 韩晋, 刘峰群, 陈红鸽   

  1. 解放军第302医院药学部,北京 100039
  • 收稿日期:2012-02-17 出版日期:2012-08-10 发布日期:2015-08-07
  • 作者简介:吴荣荣,女,主管药师,临床药学。

Pharmaceutical Service for an Aged Patient with Chronic Hepatitis B Combined Liver Cirrhosis and Ascites

WU Rong-rong, HAN Jin, LIU Feng-qun, CHEN Hong-ge   

  1. Department of Clinical Pharmacy, the 302th Hospital of PLA, Beijing 100039, China
  • Received:2012-02-17 Online:2012-08-10 Published:2015-08-07

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摘要： 目的通过对老年慢乙肝（HBV）合并肝硬化腹水患者的药学监护,探讨老年肝病患者药学监护的方法。方法通过分析临床药师在老年肝病患者临床实践中开展的药学监护内容,分别从利尿药、止血药、抗菌药物及其他常用药物的应用中,探讨参与临床治疗方案的切入点。结果医生采纳临床药师建议,患者病情得到缓解。结论临床药师与临床医生密切合作,参与临床药疗方案的制定,可进一步优化治疗方案,确保临床药物治疗的安全、有效、经济。

关键词: 临床药师, 药学监护, 肝硬化, 乙型肝炎

Abstract: ObjectiveTo investigate the method of pharmaceutical care for aged patient with liver disease by giving pharmaceutical care to an eldly patient with chronic hepatitis B combined liver cirrhosis and ascites. MethodsThrough analyzing the pharmaceutical care experience from a hepatic cirrhosis patient during participating in clinical medicine activities, discussed the entry points from which the pharmacists might participate in clinical rational drug use and perform pharmaceutical care in terms of the application of diuretic agents, hemostatic drugs, antibiotics and other medicines. ResultsThe suggestion which pharmacist given was accepted by doctor, and the patient state of illness was relieved. ConclusionImproving the ability of pharmacists to perform pharmacotherapy will generate better pharmaceutical care and ensure the safety, efficacy and cost-effectiveness of drug treatment.

Key words: clinical pharmacist, pharmaceutical care, liver cirrhosis, chronic hepatitis B