临床药师在老年痴呆科多学科团队诊疗工作中的实践与体会

目的:探讨临床药师在老年痴呆科多学科团队诊疗工作中的药学服务模式和方法。方法:通过典型案例,总结分析临床药师在老年痴呆科多学科诊疗工作中的药学实践。结果:临床药师通过审核医嘱、参与多学科查房、监测药品不良反应、开展患者用药教育、监测血药浓度及总结典型药历等多种形式开展全程化的药学服务,协助医师解决用药问题,促进合理用药,保障患者用药安全。结论:通过参与老年痴呆科的多学科诊疗工作,临床药师在促进老年患者合理用药中发挥了重要作用。

Potential therapeutic applications for Terminalia chebula in Iranian traditional medicine

Terminalia chebula(family:Combretaceae)is widely used in the traditional medicine of India and Iran to treat diseases that include dementia,constipation,and diabetes.This tree is known in Iranian traditional medicine(ITM)as halileh or halilaj and the fruit is used to develop treatments.It is described in ITM as an astringent that has a"cold"and"dry"temperament.References to the medicinal properties of Terminalia chebula were collected from important ITM sources and from modern medical databases(Pub Med,Scirus,Science Direct,and Scopus).The medicinal properties described for thistree in ITM were compared with those reported in studies of modern phytotherapy.The results confirm that the tree referred to as halileh in traditional books is the Terminalia chebula used in present-day studies.Treatments that have not been evaluated in modern phytotherapy but have been traditionally treated with Terminalia chebula include fever,and psychological and psychiatric issues.This article confirms the medicinal uses of Terminalia chebula.