临床药师对1例克罗恩病患者营养治疗的药学监护

Pharmaceutical Care of Nutritional Treatment for a Crohn's Disease Patient by Clinical Pharmacist

目的:通过该病例探讨肠外肠内营养专业临床药师在克罗恩病综合治疗的营养支持治疗中发挥的作用。方法:在1例克罗恩病患者全程治疗过程中,临床药师协助临床医师制订合理的营养治疗方案:给予患者整蛋白型肠内营养剂口服治疗,同时监护患者营养治疗全过程,并在患者急性消化道出血时,停用肠内营养改为肠外营养支持。结果:在临床药师参与下,患者营养治疗方案的制订与调整真正做到了个体化,患者营养指标白蛋白、前白蛋白均恢复至正常范围。结论:临床药师通过对克罗恩病患者的药学监护可以优化营养治疗方案,确保良好的治疗效果。

OBJECTIVE： To investigate the role of parenteral＆enteral nutrition clinical pharmacists on nutritional treatment for Crohn＇ s disease （CD）. METHODS： Base on the whole treatment for a case of CD patient, clinical pharmacists helped the physicians to make reasonable nutritional treatment plan; the patient received oral dose of Intacted protein enteral nutrition, and nutritional treatment duration was monitored; parenteral nutrition support replaced of enteral nutrition when the patient suffered from acute hemorrhage of digestive tract. RESULTS： With the cooperation of clinical pharmacists, the nutritional treatment plan for patient was developed and adjusted to individualize treatment truly. Nutritional index as albumin and prealbumin returned to normal. CONCLUSIONS： Clinical pharmacists participating in the pharmaceutical care for CD patient can optimize the nutrition treatment plan and achieve good efficacy.