临床药师参与一例晚期肿瘤患者疼痛治疗的案例分析

目的 临床药师参与癌痛患者止痛治疗，为患者提供药学服务，保障临床安全、合理用药。方法 根据癌症晚期患者疼痛治疗原则及疼痛特点，对患者进行疼痛评估、用药教育、药学监护，并分析可能存在的药物相互作用。结果 根据三阶梯治疗原则，通过全面评估患者疼痛，加用辅助药物协同镇痛，使患者疼痛得到有效控制。同时，临床药师在患者服药期间和减量过程中均进行用药指导，对药物不良反应进行监护，发现可能存在的药物相互作用，向临床医生提出合理建议并被采纳，使患者在有效镇痛的同时得到用药安全保障。结论 临床药师参与临床疼痛治疗，为患者提供药学服务，有效地协助临床医生用药，使用药更加安全，极大地提高了患者的满意度和生活质量。

Analysis on the clinical pharmacists' participation in the pain treatment of a patient with advanced cancer

Objective Clinical pharmacists participate in the pain treatment of cancer patients, and provide pharmaceutical care for patients, so as to ensure clinical safety and rational drug use.Methods According to the pain treatment principles and characteristics of patients with advanced cancer, the pain assessment, medication education and pharmaceutical care were carried out, and the possible drug interactions were analyzed.Results According to the principle of three-step treatment, the pain was effectively controlled after comprehensive evaluation and treatment combined with adjuvant drugs. At the same time, clinical pharmacist provided guidance to patients during medication and in the process of dosage reduction, monitored adverse drug reactions, discovered the possible drug interactions, and put forward reasonable suggestions to clinicians for adoption, so that the patients can get medication safety at the same time of effective analgesia.Conclusion By participating in the pain treatment, providing pharmaceutical care for patients, effectively assisting clinical treatment, the clinical pharmacists made drug use more safely, and improved the satisfaction and quality of life of patients greatly.