临床药师参与1例化疗药物致乙肝病毒再激活病例的治疗

摘 要 目的：通过参与化疗药物导致乙肝病毒再激活引起肝功能损伤患者的药物治疗实践，探讨临床药师参与临床药物治疗，提高用药合理性的方式。方法: 临床药师采用循证医学方法，提供用药建议，与临床医生共同制定个体化治疗方案，促进临床合理用药。 结果: 临床药师针对患者肝功能损伤原因分析、保肝药物选择及抗乙肝病毒药物选择，结合循证医学，给予临床医生建议，患者肝功能迅速恢复。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，可避免延误患者的有效药物治疗，切实提高药物治疗水平和医疗质量。

Participation of Clinical Pharmacist in the Treatment of One Case of Liver Injury Induced by Hepatitis B Virus Reactivation Caused by Chemotherapy

ABSTRACT Objective: To explore the participation ways of clinical pharmacists in clinical drug treatment to improve the rationality of drug use through the involvement in the drug treatment of patients with liver injury induced by hepatitis B virus reactivation caused by chemotherapy. Methods: Clinical pharmacists provided advice on drug use in accordance with evidence based medicine, developed individualized treatment program with clinicians and promoted clinical rational drug use. Results:Clinical pharmacist gave advice to clinicians based on the causes of liver function damage, hepatoprotective and anti HBV drug selection and evidence based medicine, and the liver function of the patient was recovered rapidly. Conclusion:Clinical pharmacists can provide pharmaceutical service, participate in individualized treatment of cancer patients, avoid delay of effective drug treatment, and effectively improve drug treatment level and medical quality.