1例肺癌合并三叉神经痛患者的止痛治疗监护

Pharmaceutical Care on a Patient with Lung Cancer and Trigeminal Neuralgia

目的探讨恶性肿瘤合并疼痛患者的止痛药学监护。方法通过对1例肺癌合并三叉神经痛患者的药学监护,探讨如何为癌痛患者制定合理的止痛治疗方案。结果临床药师积极参与药物治疗,依据指南评价止痛治疗方案,详细采集既往用药史,强调用药依从性,给予用药教育及合理用药建议,患者疼痛得到有效控制。结论疼痛可严重影响生活质量。临床药师可协助医生选择适宜的止痛药物、给药方式、正确联合用药、关注潜在药物相互作用,制定个体化药物治疗方案,保障癌症疼痛患者有效并合理应用止痛药物。

OBJECTIVE To found appropriate approaches for a clinical pharmacist to carry out pharmaceutical care on patients with cancer pain. METHODS The pharmaceutical care of a patient with lung cancer and trigeminal neuralgia was analyzed to explore how to make rational analgesia therapeutic schedule for patient with cancer pain. RESULTS Clinical pharmacist actively participated in pharmacotherapy including evaluating analgesia therapeutic schedule according to guidelines, inquiring medication history, emphasizing compliance, providing medication education and rational medication recommendation. CONCLUSION Pain can make patient anxious, depressed and somnipathy. Clinical pharmacist could help physicians to select rational drug, rational administration route and rational drug combination, pay attention to drug interaction, thus to make individual therapeutic schedule and ensure the rational use of analgesic, drugs.