1例颅内胶质瘤术后化疗患者的药学监护

目的：临床药师通过对1例颅内胶质瘤术后化疗患者的药学服务，探讨临床药师如何对肿瘤患者进行药学监护。方法：临床药师以抗肿瘤药物的用法、药物相互作用、药物不良反应、出院用药指导等作为切入点，根据患者病情提出用药方案调整，给临床医师提出合理化治疗建议。结果：该患者在调整后的治疗方案中无严重不良反应发生，治疗效果满意。结论：临床药师的药学监护发挥了较重要的作用，保证患者用药安全有效。

Pharmaceutical Care for a Postoperative Patient with Intracranial Glioma Treated by Chemotherapy

ABSTRACT Objective: To investigate the role of clinical pharmacists in the process of chemotherapy for a patient with intracranial glioma.Methods: Usage and dosage of antitumor drugs, drug interactions, adverse drug reactions and medication education after discharged as the breakthrough points, clinical pharmacists and clinicians explored options for the patient treatment and adjusted the medication timely according to the condition. Results:There were no serious adverse drug reactions in the adjusted therapeutic regimen and the treatment results of the patient were satisfactory.Conclusion:Clinical pharmacists provide pharmaceutical care can play an important role in improving the safety and effectiveness of drug use.