急性胆源性胰腺炎患者的药学监护 (附1例报告).docVIP

急性胆源性胰腺炎患者的药学监护 (附1例报告) 常海良 刘毅 云秀丽 王春梅 呼和浩特市第一医院药剂科 呼和浩特市第一医院病理科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨老年急性胆源性胰腺炎患者的治疗方案及药学监护重点.方法:选取1例急性胆源性胰腺炎病例, 结合急性胰腺炎的治疗原则和治疗方案, 分析药物治疗方案的合理性, 制订个体化的药学监护计划并实施全程药学监护.结果:临床药师能够及时发现患者药物治疗问题, 进而优化治疗方案, 为患者提供安全、合理、有效、经济的药物治疗.结论:临床药师通过参与药物治疗方案的制定并提供全程药学监护, 可以优化患者的药物治疗方案, 提高合理用药水平. 关键词： 胆源性胰腺炎; 抗感染药物; 临床药师; 药学监护; 作者简介：常海良 硕士, 主管药师.E-mail163.com 作者简介：王春梅 主任药师.Tel:0471-5281276E-mail:chl2005047@163.com 收稿日期：2017-03-28 基金：内蒙古自治区自然科学基金 (2016MS08118) Pharmaceutical care of 1 patients with acute biliary pancreatitis CHANG Hai-Liang LIU Yi YUN Xiu-Li WANG Chun-Mei Department of Pharmacy, Hohhot First Hospital; Department of Pathology, Hohhot First Hospital; Abstract： AIM: To investigate the therapeutic regimen and key points of the pharmaceutical care for the elderly patients with acute biliary pancreatitis. METHODS: One case of acute biliary pancreatitis was selected as the object of study. According to treatment principle and therapeutic regimen of acute pancreatitis, the rationality of therapeutic regimen was analyzed, then an individualized pharmaceutical care plan was made and the whole process of pharmaceutical care was carried out. RESULTS: Clinical pharmacists can promptly discover the mistakes of the therapeutic regimen, and then optimize the treatment regimen to provide a safe, reasonable, effective and economic affordable drug treatment. CONCLUSION: Clinical pharmacists play an important role in the optimization of therapeutic regime as well as the improvement of rational drug usage through participating in the development of the therapeutic regimen and providing whole process of pharmaceutical care. Keyword： biliary pancreatitis; anti-infective drugs; clinical pharmacist; pharmaceutical care; Received： 2017-03-28 0 引言 急性胆源性胰腺炎为临床中最常见的胰腺炎, 其病因复杂、易复发、病死率高.胆源性胰腺炎占胰腺炎发病人数的15%~50%, 病死率为20%~35%, 50%的急性胰腺炎患者系胆道疾病引起, 包括胆囊和胆管结石、胆道蛔虫等[1].本文以1例急性胆源性胰腺炎患者的药学监护为例, 介绍临床药师通