1例重度癌痛儿童患者使用阿片类药物的药学监护

Pharmaceutical care on a child with severe cancer pain using opioids

1例13岁男性患者,诊断为“横纹肌肉瘤伴重度癌痛”,入我院行抗肿瘤治疗。临床药师全程参与患者的癌痛治疗,协助医师调整疼痛治疗方案,并对患者治疗过程中的爆发痛及时处理,患者在院期间疼痛控制良好。临床药师后续对患者院外疼痛控制情况及药品不良反应进行随访及监测,调整患者院外疼痛治疗方案,患者至下次化疗期间疼痛控制良好。目前针对儿童癌痛的规范性诊疗资料较少,临床药师通过参与1例重度癌痛儿童疼痛治疗方案的选择及调整,并对患者院外用药进行监测及随访,确保了患者用药安全有效,为临床实践提供了一定参考。

One 13-year-old male patient was diagnosed with rhabdomyosarcoma with severe cancer pain.He was admitted to our hospital for anti-tumor treatment.Clinical pharmacists participated in the whole process of cancer pain treatment,and assisted doctors to adjust the pain treatment plan,and timely handled the sudden pain in the treatment process of the patient.The pain of the patient was well controlled during the hospital.Clinical pharmacists followed up and monitored the patient's out of hospital pain control and adverse drug reaction and adjusted the treatment plan.His pain was well controlled until the next chemotherapy.At present,there were few normative diagnosis and treatment data for children's cancer pain.Clinical pharmacists participated in the selection and adjustment of the pain treatment scheme of a child with severe cancer pain,monitored and followed up the out of hospital medication of the patient,so as to ensure the safety and effectiveness of the medication of the patient and provide a certain references for clinical practice.