临床药师对肿瘤患者药学服务实践的病例分析

摘 要 目的：通过参与肿瘤患者个体化治疗实践，探讨临床药师提高用药合理性的工作方法。方法: 临床药师参与肿瘤患者个体化治疗，发现不良药物相互作用，调整肾功能不全患者用药剂量，治疗肿瘤患者伴发感染或癌痛，纠正不恰当合并用药等。结果: 临床药师提供全程化药学监护，根据患者个体化信息，提供用药建议，提高治疗效果，避免药物潜在不良反应或不良事件发生。结论: 临床药师深入临床提供药学服务，参与制定肿瘤患者个体化治疗方案，可切实提高临床合理用药水平。

Cases Analysis of Pharmaceutical Care Practice Performed by Clinical Pharmacist in the Patients with Tumor

ABSTRACT Objective: To explore the working methods of clinical pharmacists for improving the rationality of drug use through participating in individualized treatment practice for the patients with tumor. Methods: Clinical pharmacists participated in the individualized treatment of the patients with tumor, found out adverse drug interactions, adjusted dosage for the renal insufficiency patients, treated infection or pain and corrected inappropriate drug combination, etc. Results: Clinical pharmacists provided integrated pharmaceutical care and offered medical advice in accordance with the individualized information of patients, which improved the treatment effect and avoided potential adverse drug reactions or adverse events. Conclusion:Clinical pharmacists provide pharmaceutical care and participate in the performance of individualized treatment for cancer patients, which can effectively improve the level of drug treatment.