内分泌科临床药师参与1例糖尿病合并高催乳素血症患者的治疗实践

Clinical practice of an endocrinology clinical pharmacists participating in the treatment of a patient with diabetes and hyperprolactinemia

目的探讨内分泌科临床药师参与临床药物治疗的工作模式。方法临床药师通过参与1例糖尿病合并高催乳素血症患者的治疗,分析患者血糖控制不佳及高催乳素血症的原因,提出治疗方案。结果长期服用抗精神病药物可能是患者血糖控制不佳的原因之一。高催乳素血症可能与患者长期服用抗精神病药帕潘立酮缓释片有关,建议患者转诊精神科,选用无升高催乳素作用的抗精神病药物治疗。结论临床药师积极参与临床治疗,能有效提高患者用药的合理性和依从性。

Objective To explore the working pattern for endocrinology clinical pharmacists participating in clinical drug treatment .Methods By participating in the treatment for a patient with diabetes and hyperprolactinemia and analyzing the cau‐ses of poor glycemic control and hyperprolactinemia ,clinical pharmacists proposed therapeutic regimen .Results The long‐term psychotropic medication may be one of the reasons why blood glucose of the patient was unsatisfactorily controlled .The patient with hyperprolactinemia may be associated with her longstanding use of paliperidone .The patient was recommended to consult a psychiatrist and switch to an alternative medication which does not cause hyperprolactinemia .Conclusion The active partici‐pation of clinical pharmacists during clinical drug therapy could improve the medication rationality and compliance of patients with drugs .