地西泮治疗酒精所致精神病性障碍合并肝功能异常1例药学监护

Diazepam in the treatment of alcohol induced mental disorder combined with liver dysfunction:one case of pharmaceutical care

目的探讨临床药师参与酒精引起的精神病性障碍合并肝功能异常病人治疗方案的制定和药学监护以及人文关怀的方法。方法对无锡市精神卫生中心2018年6月收治的1例酒精引起的精神病性障碍合并肝功能异常病人的戒断治疗方案进行分析,分析苯二氮类药物治疗的机制、选药方法,对病人可能出现的不良反应进行药学监护,并给予人文关怀。结果临床药师分析地西泮可用于合并肝功能异常的由于使用酒精引起的精神病性障碍病人的戒断治疗,该意见被采纳,病人经过治疗后戒断症状明显改善,肝功能指标改善。结论临床药师参与病人治疗及药学监护,协助医生进行给药方案的调整,并给予人文关怀,有助于治疗的安全性和有效性。

Objective To discuss clinical pharmacists participation in formulating the theraputic schedule,pharmacutical care as well as humanistic care of alcohol induced mental disorder combined with abnormal liver function.Methods The treatment plan of one patient with alcohol induced mental disorder combined with abnormal liver function in Wuxi Mental Health Center in June 2018 was analyzed.The mechanism and medicine selection of benzodiazepine was analyzed to alcohol induced mental disorder com bined with abnormal liver function.Pharmacutical care as well as humanistic care were given to the patient in order to avoiding pos sible adverse reaction.Results Diazepam could be used for the withdrawal treatment of patients with alcohol related psychiatric disorders combined with liver dysfunction analyzed by clinical pharmacists.This opinion was adopted,and the patient’s withdrawal symptoms and liver function indicators improved significantly after treatment.Conclusion It was contributed to security and effec tiveness with clinical pharmacisit participating in the treatment,pharmacutical care as well as humanistic care for patient.