临床药师对心肌梗死患者个体化用药方案设计的实践

Individualized dosing regimen for myocardial infarction patients in practice of clinical pharmacists

目的:探索临床药师参与制定药物个体化治疗方案设计以及实施有效药学监护的思路。方法:以1例心肌梗死患者为例,从临床药师角度分析患者的病情特征和治疗原则,利用药学理论和循证药学的证据,与临床医师共同商讨和制定药物治疗方案,对患者实施药学监护。结果:临床药师参与对患者个体化治疗方案的制定,同时对患者进行密切的药学监护,提高了患者的药物治疗效果,减少了不良反应,确保患者用药安全,取得了满意的治疗效果。结论:临床药师通过参与个体化用药融入临床药物治疗团队,在对患者的治疗方面发挥越来越重要的作用,为特定患者选用适当的药物、适当的剂量和适当的时间的个体化用药方案将打破传统给药模式,从而进一步促进临床用药更加安全、有效、合理。

Objective： To explore the train of thought of clinical pharmacists to participate in designing of the formulation of individualized drug treatment and earring out effective pharmaceutical care. Methods： Taking one myocardial infarction patient as an example, the disease characteristics and treatment principles in patients were analyzed from a clinical pharmacist perspective. On evidencebased pharmacy and pharmacy theory, the drug treatment programs were discussed in the views of clinicians and pharmaceutical care to the patient. Results ： Clini cal pharmacists participated in the individualized drug treatment plan, and closely took pharmaceutical care of pa tients. As a result, the drug treatment was improved, the adverse reactions were reduced, patient safety was en sured, and a satisfactory therapeutic effect was obtained. Conclusion： Clinical pharmacists in clinical team can promote the clinical medication more secure, effective and reasonable.