摘要
严重下肢缺(CLI)血患者常合并多种慢性疾病,血运重建围手术期的药物管理是疾病治疗的重要内容,不合理的多重用药直接影响患者的治疗结局。本研究针对CLI患者围手术期常见的用药问题进行探讨,重点关注围手术期血栓的预防与治疗、基础疾病防治与多重用药管理、镇痛方案制定与调整,以期为临床医师和药师给患者制定个体化用药方案提供参考。
Patients with critical limb ischemia(CLI)often complicated with multiple chronic diseases.Drug management is an important issue during perioperative of revascularization.However,unreasonable multiple drugs may influence the treatment outcome of patients.This study explores common medication issues in CLI patients during the perioperative period,with a focus on the prevention and treatment of perioperative thrombosis,prevention and treatment of underlying diseases and management of multiple medications,the development and adjustment of pain relief plans.The aim is to develop corresponding medication recommendations and treatment strategies,in order to provide reference for clinical physicians and pharmacists to develop personalized medication plans for patients.
作者
刘莹
都丽萍
唐筱婉
郑月宏
Liu Ying;Du Liping;Tang Xiaowan;Zheng Yuehong(Department of Pharmacy,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100730,China;Department of Pharmacy,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China;Department of Vascular Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100730,China)
出处
《血管与腔内血管外科杂志》
2024年第4期389-394,共6页
Journal of Vascular and Endovascular Surgery
基金
创新工程重大协同创新项目(CIFMS2021-I2M-1-016)
中央高水平医院临床科研专项(2022-PUMCH-A-199)
中国医学科学院中央级公益性科研院所基本科研业务费项目(2022-RW350-01)。
关键词
严重下肢缺血
围手术期
合理用药
抗栓治疗
critical limb ischemia
perioperative period
rational drug use
antithrombotic therapy