临床药师参与1例骶骨恶性神经鞘瘤患者神经病理性疼痛的治疗体会

摘 要 目的：临床药师参与临床治疗,促进肿瘤患者用药的安全性和有效性。方法: 介绍临床药师参与1例骶骨恶性神经鞘瘤患者神经病理性疼痛的治疗过程，通过查阅相关指南和国内外文献,发挥药学专业特长，为患者提供合理的个体化用药方案。结果: 临床药师根据患者疼痛性质与程度，调整阿片类、非阿片类药物的种类和剂量，有效地控制疼痛，使NRS疼痛评分控制在1～2。保证疗效的同时减轻不良反应，保证持续的药物治疗。结论: 临床药师参与临床治疗,促进了用药的规范化,并为临床治疗类似患者提供一种思路和方法。

Experience of Clinical Pharmacists Participating in the Therapy for one Neurilemmoma Cancer Patient with Malignant Neuropathic Pain

ABSTRACT Objective: To improve the safety, rationality and efficacy of medication for cancer patients accompanied with malignant neuropathic pain by the participation of clinical pharmacists in the therapy. Methods: Clinical pharmacists participated in the therapy for one neurilemmoma cancer patient with malignant neuropathic pain, and provided a rational and individualized therapeutic regimen according to the drug experience of clinical pharmacists as well as the relevant medical guides and literatures. Results: According to the nature and degree of pain, clinical pharmacists adjusted the type and dosage of opioids and non opioid drugs. The pain was well controlled with pain score at 1 2 points. Besides, the adverse effects were alleviated to ensure the sustained drug treatment.Conclusion:The participation of clinical pharmacists in therapeutic practice can improve the normalization of pharmacotherapy for neurilemmoma cancer patients with malignant neuropathic pain, which also can provide ideas and methods for treating the similar patients.