中药注射剂临床合理应用中的药学监护

伴随着中药注射剂使用的日益广泛,发生不良反应的现象也越来越受到重视。为减少中药注射剂不良反应的发生,临床药师应做好中药注射剂合理应用中的药学监护工作。近年来,药学监护在中药注射剂安全、有效、合理应用中发挥重要作用。探讨了中药注射剂实施药学监护的原则与措施,临床使用中应遵循辨证论治的原则;选择恰当的溶媒;杜绝药物配伍禁忌;控制输液时的液体滴速;不超剂量、超疗程使用中药注射剂,做到中病即止。

Pharmaceutical care for Chinese materia medica injections in reasonable clinical application

With the increasingly widespread use of Chinese materia medica (CMM) injection, the adverse drug reactions (ADR) are paid more and more attention. To avoid possible ADR occuring, it is important that the pharmaceutical care of clinical pharmacists should be done in CMM injections. The pharmaceutical care plays an important role in the application of CMM injections safely, effectively, and reasonably. The most important things of pharmaceutical care of CMM injections are as follows: according to the principle of treatment based on syndrome differentiation in clinical application, the dialectical application of CMM injections; selecting the correct solvent; avoiding drug incompatibility; controlling the transfusion speed; no treatment with overdose of CMM injections in order to achieve the disease lasts. Recently, the pharmaceutical care has achieved more and more development in the clinical application of CMM injections.