临床药师对1例喘息性支气管肺炎患儿用药方案分析及药学监护

Analysis of Therapeutic Schedule and Pharmaceutical Care for a Child with Asthematoid Bronchopneumonia

目的:通过分析1例喘息性支气管肺炎患儿的药物治疗过程,探讨临床药师开展临床药学的主要方法。方法:从一般病史、用药史、疗效观察、不良反应观察、用药教育等方面分析1例喘息性支气管肺炎患儿的用药方案。结果:从病史及用药史采集、观察疗效、观察不良反应、抗感染药物应用、专科药物的应用等方面分析得出该患儿用药方案基本合理,但用药仍有值得改进之处。结论:从疗效、不良反应、专科药物应用等方面分析用药方案,是临床药师开展临床药学监护的基本工作内容;深入研究抗感染用药、专科用药、益生菌等药物的使用是实施儿童支气管肺炎药学监护的亮点。临床药师可以通过分析现状、临床实践、分析解决问题的持续改进这一循环方式推动临床药学发展。

OBJECTIVE： To investigate the main method of clinical pharmacist developing clinical pharmacy by analyzing drug treatment of child with asthematoid bronchopneumonia. METHODS： The treatment scheme for child with asthematoid bronchopneu- monia was analyzed from medical history, drug history, efficacy, adverse drug reaction, medicinal education, etc. RESULTS： The treatment scheme for the child was reasonable basically by analyzing medical history, drug history, efficacy, adverse drug reac- tion, medicinal education, etc. It still needed to improve the medicinal treatment. CONCLUSION： The basic methods of pharma- ceutical care contain analysis of efficacy, adverse drug reaction, special administration and others. The unique features of pharma- ceutical care for pediatric bronchopneumonia were deeply study of anti-infective medication, special administration and probiotics. Clinical pharmacist can promote the development of clinical pharmacy by continuous improvement methods of status analysis, clini- cal practice, analyzing and resolving problems.