中药注射剂临床合理应用中的药学监护.PDFVIP

现代药物与临床 Drugs Clinic 第 29 卷 第 1 期 2014 年 1 月 • 83 • 中药注射剂临床合理应用中的药学监护 崔 颖，米 云 天津市中医药研究院附属医院，天津 300120 摘 要：伴随着中药注射剂使用的日益广泛，发生不良反应的现象也越来越受到重视。为减少中药注射剂不良反应的发生， 临床药师应做好中药注射剂合理应用中的药学监护工作。近年来，药学监护在中药注射剂安全、有效、合理应用中发挥重要 作用。探讨了中药注射剂实施药学监护的原则与措施，临床使用中应遵循辨证论治的原则；选择恰当的溶媒；杜绝药物配伍 禁忌；控制输液时的液体滴速；不超剂量、超疗程使用中药注射剂，做到中病即止。 关键词：中药注射剂；临床应用；药学监护 中图分类号：R944.1 ；R969 文献标志码：A 文章编号：1674 - 5515(2014)01 - 0083 - 03 DOI :10.7501/j.issn.1674-5515.2014.01.020 Pharmaceutical care for Chinese materia medica injections in reasonable clinical application CUI Ying, MI Yun Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin 300120, China Abstract: With the increasingly widespread use of Chinese materia medica (CMM) injection, the adverse drug reactions (ADR) are paid more and more attention. To avoid possible ADR occuring, it is important that the pharmaceutical care of clinical pharmacists should be done in CMM injections. The pharmaceutical care plays an important role in the application of CMM injections safely, effectively, and reasonably. The most important things of pharmaceutical care of CMM injections are as follows: according to the principle of treatment based on syndrome differentiation in clinical application, the dialectical application of CMM injections; selecting the correct solvent; avoiding drug incompatibility; controlling the transfusion speed; no treatment with overdose of CMM injections in order to achieve the disease lasts. Recently, the pharmaceutical care has achieved more and more development in the clinical application of CMM injections. Key words: CMM injection; clinical application; pharmaceutical care 近年来，随着中药注射剂的不断研发，其在临 有严格的规定，如使用前应仔细询问过敏史、严格 床上的应用也日益广泛。据统计，目前 SFDA 给予 按照说明书规定的功能主治、推荐剂量及疗程、单 中药注射剂批准文号 1 266 个,涉及品种 141 个，