以1例合并多种基础疾病的膜性肾病药物治疗为例分析药物治疗矛盾的处理

Analysis of measures to deal with contradictions during drug therapy by using a case with membranous nephropathy and multiple comorbidities

目的:分析临床药师如何协助医生发现并正确处理药物治疗中的各种矛盾。方法:以1例合并有多种基础疾病的膜性肾病患者的药物治疗为例,阐明临床药师如何协助医生发现并正确处理药物与病理状态,治疗药物之间以及治疗药物自身的矛盾。结果:临床药师在药物治疗中,利用矛盾的普遍性和特殊性、分清主次矛盾,并坚持两点论和重点论相统一的观点,协助医生发现并正确处理了该患者药物治疗过程中的各种矛盾。结论:临床药师利用哲学的矛盾观与方法论,发现并正确处理药物治疗中的各种矛盾,可以优化药物治疗方案,促进临床合理用药。

OBJECTIVE To analyze how clinical pharmacists assist physicians to properly identify and deal with various contradictions during drug therapy. METHODS A patient presenting with membranous nephropathy and multiple comorbidities was analyzed to illustrate how to identify and deal with contradictions between therapeutic agents and pathological conditions, contradictions among therapeutic agents, and contradictory effects of therapeutic agents. RESULTS By utilizing universality and particularity of contradictions, distinguishing the primary, adhering to theory of two points and focusing on one point, clinical pharmacists assisted physicians to properly find out and deal with various contradictions during drug therapy. CONCLUSION By implementing contradiction view and methodology of philosophy, clinical pharmacists find out and deal with various contradictions during drug therapy, thus optimizing drug selections and promoting rational use of drugs.