1例老年患者治疗用药合理性分析.pdfVIP

·药物临床 · 1例老年患者治疗用药合理性分析 1* 2 1** 1 1 张贇 王忠壮 许丽雯 沈洁 张明 1. 200232 2. 200433 （ 上海中医药大学附属龙华医院药剂科 上海 ； 第二军医大学附属长海医院药学部 上海 ） 摘 要 目的 ：通过分析 1 例接受中、西药物联合治疗的老年患者的用药过程，研讨用药合理性。方法 ：病例讨论。 结果 ：发现抗菌药物选择存在不合理现象 ；抗凝、活血药物使用品种过多 ；中、西药物联合使用不当，导致药物不良反 应发生。结论 ：治疗过程中安全、合理地用药十分重要，在联合使用中、西药物时应考虑到药物相互作用，必要时请临 床药师事先介入，参与制定用药方案。 关键词 合理用药 药物相互作用 案例分析 R969.3 A 1006-1533(2014)07-0013-04 中图分类号 ： 文献标识码 ： 文章编号 ： One case study of rational administration in aged patient 1* 2 1** 1 1 ZHANG Yun , WANG Zhongzhuang , XU Liwen , SHEN Jie , ZHANG Ming (1. Department of Pharmacy, Longhua Hospital, Shanghai Traditional Chinese Medicine University, Shanghai 200232, China; 2. Department of Pharmacy, Changhai Hospital, Second Military Medical University, Shanghai 200433, China) ABSTRACT Objective: To investigate and analyze the effect of rational use of traditional Chinese medicine (TCM) and chemical drugs on a typical aged patient. Methods: This case was discussed in detail. Results: There was an unreasonable use of antibiotics and too many kinds of anticoagulants drugs were used. The unreasonable combination of TCM and chemical drugs might more likely result in adverse reactions. Conclusion: It is very important to safely and reasonably use both TCM and chemical drugs in clinic. The interaction of TCM and chemical drugs should be considered wh