临床药师参与预防骨科术后血栓栓塞症的药学实践与分析

Pharmacologic Practice and Analysis of Clinical Pharmacists′ Participation in Preventing Thromboembolism after Orthopedic Surgery

目的 探讨临床药师在预防骨科术后血栓栓塞症中的作用。方法 通过对3例临床药师参与预防骨科术后血栓栓塞症的药学实践进行分析,了解临床药师是如何运用自身专业知识和药学服务,从各个阶段和角度协助临床医生预防骨科术后患者的血栓栓塞症。结果 临床药师运用自身专业、系统的药学知识,对患者的年龄、既往病史、病情、用药情况等各个方面进行综合评估,为患者制定个体化的抗凝方案,从入院到术后再到出院,全程协助临床医生观察、监督、服务患者,以达到最佳预防血栓栓塞症的效果。结论 临床药师在预防骨科术后患者血栓栓塞症的过程中扮演着不可或缺的重要角色,通过运用自身专业知识,提供药学服务,协助临床医生降低骨科术后患者血栓栓塞症的发生率。

OBJECTIVE To explore the role of clinical pharmacists in preventing thromboembolism after orthopedic surgery.METHODS Through the analysis of the pharmacy practice of 3 cases of clinical pharmacists participating in the prevention of thromboembolism after orthopedic surgery,it is understood how clinical pharmacists use their professional knowledge and pharmaceutical care to assist clinicians in the prevention of thromboembolism in patients after orthopedic surgery from various stages and angles.RESULTS Clinical pharmacists use their professional and systematic pharmaceutical knowledge to make comprehensive assessments of patients′ age,past medical history,condition,drug use and other aspects,and formulate individualized anticoagulation programs for patients.From admission to postoperative and discharge,they assist clinicians to observe,supervise and serve patients throughout the process,so as to achieve the best preventive effect of thromboembolism.CONCLUSION Clinical pharmacists play an indispensable role in the prevention of thromboembolism in orthopedic postoperative patients.By using their professional knowledge and providing pharmaceutical care,they can assist clinicians to reduce the incidence of thromboembolism in orthopedic postoperative patients.