临床药师参与1例老年肺癌患者疼痛治疗的用药调整与分析

摘要

目的：为临床药师在肿瘤内科参与混合性疼痛的治疗提供参考。方法：针对1例老年肺癌伴疼痛的患者，临床药师参与疼痛治疗方案分析，协助医师从药物剂量、不良反应等方面制订个体化给药方案，密切观察患者疼痛的治疗效果及并发的不良反应，建议医师调整相关治疗药物。结果：临床药师结合患者特点，全程参与该患者治疗，对药物治疗起到了积极的作用，同时协助医师调整了患者的治疗用药，使药品的临床应用更加合理。经过治疗，患者的疼痛得以控制，不良反应也得到缓解。结论：抗肿瘤专业临床药师参与临床实践，可从药学的角度发挥优势，优化治疗方案，预防不良反应的发生。%OBJECTIVE:To provide reference for the treatment of mixed pain in the department of tumors internal medicine participated by the clinical pharmacists .METHODS:An elderly patient with lung cancer pain was selected as the research object , the clinical pharmacists participated in the analysis of therapeutic scheme , assisted the clinician to formulate individualized administration regimen with fully consideration of the dosage of drugs and adverse reactions , closely observed the treatment efficacy of the patient's pain and the subsequent adverse reactions , and suggested the clinician to adjust the related drugs .RESULTS: The clinical pharmacists took the patient's characteristics into consideration , totally participated in the whole treatment process and assisted the clinician to adjust the therapeutic medication of the patient , which played an effective role in the therapeutic treatment and contributed to the clinical rational use of drugs.Also, the pain in the patient was controlled and adverse reactions were relieved after treatment . CONCLUSIONS: The participation of clinical pharmacists in tumor department can take full advantage from the perspective of pharmacy and play an unique role in optimizing therapeutic scheme and preventing adverse reactions .