1例阿尔茨海默病药物治疗管理门诊病例的药学服务

Pharmaceutical services for Alzheimer's disease medication therapy management:a case report

目前,阿尔茨海默病(AD)患者的药学服务大多是基于西药的药物治疗管理(MTM)模式开展,包括对患者进行药物治疗评估,找出药物治疗问题,提出药物治疗建议,重整药物治疗清单,随访与记录等。然而,近年来,越来越多的国内临床实践证明,中医辨证施治的个体化治疗能有效预防及延缓AD的发生及发展,而MTM药学服务模式在面对此类AD患者时略显局限。因此,有必要探索具有中医药特色的AD药物治疗管理的新型药学服务模式,为接受中西医结合个体化治疗AD的患者开展药学服务。本文尝试将AD中医序贯疗法与MTM理念相结合,对1例门诊典型AD患者进行药物治疗管理,较好地解决了该患者的药物相关问题,保障了其用药安全与疗效。

At present,pharmaceutical services for Alzheimer's disease(AD)patients are mostly based on the western medication therapy management(MTM)model,which includes conducting drug treatment evaluations for patients,identifying drug treatment issues,proposing drug treatment recommendations,restructuring drug treatment checklists,follow-up visiting and recording,etc.However,in recent years,more and more domestic clinical practices have proven that individualized treatment with dialectical treatment of traditional Chinese medicine can effectively prevent and delay the occurrence and development of AD,while the MTM pharmaceutical service model has some limitations when facing such AD patients.Therefore,it is necessary to explore a new pharmaceutical service model with Chinese medicine characteristics for AD MTM,so as to provide pharmaceutical services for patients receiving individualized treatment of AD through the combination of traditional Chinese and Western medicine.Combining the traditional Chinese medicine sequential therapy of AD with the MTM concept,MTM was conducted on a typical outpatient AD patient,which effectively solved the medication related problems of the patient and ensured the medication safety and efficacy.