今日药学

2017, v.27(06) 415-419

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1例临床药师参与NSCLC合并CKD伴高血压患者的药学实践
Participation of Clinical Pharmacist in Whole Process Management for One Advanced NSCLC Patient of Hypertension Complicated with CKD

梁蔚婷;陈卓佳;潘莹;黄岩;刘韬;
LIANG Weiting;CHEN Zhuojia;PAN Ying;HUANG Yan;LIU Tao;Sun Yat-sen University Cancer Center,State Key Laboratory of Oncology in South China,Collaborative Innovation Center for Cancer Medicine;

摘要(Abstract):

目的通过临床药师参与晚期非小细胞肺癌(advanced non-small cell lung cancer,advanced NSCLC)合并慢性肾功能不全(chronic kidney disease,CKD)伴高血压患者的一线及二线治疗方案的优化和药学监护,探讨临床药师在肿瘤治疗全程管理中的作用。方法临床药师对患者14个疗程进行全程药学监护,根据患者的病情、身体情况的变化,与临床医生共同协商并制定个体化的治疗方案,进行针对性的用药教育。结果患者顺利完成治疗,肿瘤控制可,病情稳定。结论临床药师全程参与患者的临床治疗实践,能协助医师制定安全、有效的治疗方案,促进了临床合理用药。
OBJECTIVE To explore the role of clinical pharmacists in whole process management by optimizing the interventions and conducting pharmaceutical care in first and second line therapy of a case of advanced NSCLC patient of hypertension complicated with CKD. METHODS Clinical pharmacist provided whole process management of pharmaceutical care for one patient giving 14 courses of treatment,including helping physicians to make personalized treatment protocols for the change of disease and condition,giving specific education. RESULTS The patient completed the treatment successfully,in the control of tumor and a stable condition.CONCLUSION Involvement of clinical pharmacists in whole process treatment can help physicians develop safe and effective individualized treatment regimen and promote rational drug use in the clinic.

关键词(KeyWords): 晚期非小细胞肺癌;慢性肾功能不全;高血压;药学监护
advanced NSCLC;CKD;hypertension;pharmaceutical care

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基金项目(Foundation): 广东省临床用药研究基金(2015ZT24)

作者(Author): 梁蔚婷;陈卓佳;潘莹;黄岩;刘韬;
LIANG Weiting;CHEN Zhuojia;PAN Ying;HUANG Yan;LIU Tao;Sun Yat-sen University Cancer Center,State Key Laboratory of Oncology in South China,Collaborative Innovation Center for Cancer Medicine;

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