摘要
溃疡性结肠炎患者可伴有皮肤黏膜损害、关节疾病、眼部损害、肝胆病变等肠外表现。消化内科专科临床药师参与1例重度溃疡性结肠炎合并坏疽性脓皮病、膝关节炎患者的治疗,结合患者的疾病史,协助医生制定药物治疗计划,制定药物治疗监护计划,评价药物治疗效果及不良反应,积极予以药物预防常见不良反应;与医生沟通药物选择、给药剂型、剂量及减量原则,对患者进行激素治疗的风险与获益进行评估,对患者进行用药教育。临床药师从药学角度,参与临床治疗,优化治疗方案,在提高患者对疾病认识和治疗依从性的同时,为患者提供个体化的用药支持,确保治疗方案安全有效。
Patients with ulcerative colitis may be accompanied by extraintestinal manifestations such as skin,mucous membranes,joints,eyes,liver and gallbladder.A clinical pharmacist in the department of gastroenterology took a patient with severe ulcerative colitis complicated with pyoderma gangrenosum and knee arthritis as an example,combined with the patient's disease history,and assisted the doctor in formulating the drug treatment plan and the drug treatment monitoring plan,evaluated the effect of drug treatment and adverse reactions,and actively gave drugs to prevent common adverse reactions;communicated with doctors about drug selection,dosage form,dose and principle of dose reduction,evaluated the risks and benefits of hormone treatment,and educated patients about drug use.From the perspective of pharmacy,clinical pharmacists participated in clinical treatment and optimized treatment plans.While improving patients'awareness of the disease and treatment compliance,they provided patients with individualized medication support to ensure that treatment plans were safe and effective.
作者
刘丹
杨雅
Dan LIU;Ya YANG(Department of Pharmacy,The Second Affiliated Hospital of Army Medical Universiy,Chongqing 400037,China;Department of Pharmacy,The First Affiliated Hospital of Army Medical Universiy,Chongqing 400038,China;Department of Pharmacy,The Affiliated Children’s Hospital of Chongqing Medical University,Chongqing 401122,China)
出处
《药物流行病学杂志》
CAS
2023年第6期715-720,共6页
Chinese Journal of Pharmacoepidemiology
关键词
溃疡性结肠炎
坏疽性脓皮病
关节炎
药学监护
Ulcerative colitis
Pyoderma gangrenosum
Arthritis
Pharmaceutical care