糖尿病肾病患者伴慢性肾功能不全时的药学监护切入点

摘 要 目的： 探讨临床药师在糖尿病肾病伴慢性肾功能不全患者中的药学监护切入点。方法: 通过对主要治疗药物包括降糖药和降血压药，以及治疗并发症药物如利尿剂、降脂药及改善微循环药物进行监护，结合糖尿病肾病患者的饮食健康教育，发挥临床药师的药学服务作用。结果: 临床药师提高了患者的依从性以及对临床药师的信任度，并保证了药物的安全性与有效性。结论: 临床药师为提高糖尿病肾病伴慢性肾功能不全患者的安全合理用药，并延缓其疾病的发生发展提供了保障。

Entry Point of Pharmaceutical Care Performed by Clinical Pharmacists in Diabetic Nephropathy Patients Complicated with Chronic Renal Insufficiency

ABSTRACT Objective: To investigate the entry point of clinic pharmaceutical care performed by clinical pharmacists in diabetic nephropathy patients with chronic renal insufficiency. Methods: Clinical pharmacists played an important role in the service of clinical pharmacy by doing pharmaceutical care in main treatment agents such as hypoglycemic agents, hypotensive drugs and symptomatic treatment agents including diuretics, lipid lowering drugs and microcirculation improving drugs, and in the healthy diet education for the patients. Results:Clinical pharmacists improved the compliance of the patients and the trust in clinical pharmacists, which ensured the safety and efficacy of clinical drugs. Conclusion:Clinical pharmacists can guarantee the safety of medication and delay the development of diabetic nephropathy with chronic renal insufficiency.