| 202 | 0 | 23 |
| 下载次数 | 被引频次 | 阅读次数 |
目的探讨临床药师对脑梗死住院患者实施药学监护的模式和意义。方法结合患者的病理生理情况,对患者住院期间用药进行分析,从药物的选择、给药剂量、给药频率、使用疗程以及药物相互作用方面评估给药方案,进行药学干预。结果患者经治疗后好转出院。结论临床药师利用自身专业的优势,与医师进行知识互补,协助医师作出更准确的给药决策,促进临床合理用药,提高医疗水平。
Abstract:[1]国家卫生和计划生育委员会脑卒中筛查与防治工程委员会.卒中筛查与防治技术规范[J].中华神经科杂志,2014,47(3):199.
[2]中华医学会神经病学分会脑血管病学组.中国缺血性脑卒中和短暂性脑缺血发作二级预防指南2014[J].中华神经科杂志,2015,48(4):262.
[3]European Stroke Organisation(ESO)Executive Committee:ESO Writing Committee.Guidelines for management of ischaemic stroke and transient ischaemic attack 2008[J].Cerebrovasc Dis,2008,25(5):457.
[4]Sacco RL,Adams R,Albers G,et al.Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack:a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J].Stroke,2014,45(7):2160.
[5]Kennedy J,Hill MD,Ryckborst KJ,et al.Fast assessment of stroke and transient ischaemic attack to prevent early recurrence(FASTER):a randomised controlled pilot trial[J].Lancet Neurol,2007,6(11):961.
[6]Wang Y,Pan Y,Zhao X,et al.Clopidogrel with aspirin in acute minor stroke or transient ischemic attack(chance)trial:one-year outcomes[J].Circulation,2015,132(1):40.
[7]中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志,2015,48(4):252.
[8]陈良跃.不同剂量阿司匹林在脑梗死急性期的临床效果分析[J].临床合理用药杂志。2014,7(4C):39.
[9]倪桂莲,林翔东,徐素琴.不同剂量阿司匹林治疗老年急性脑梗死的疗效及安全性评价[J].中国药业,2013,22(6):15.
[10]王波,贺其根,梁景岳.两种剂量阿司匹林治疗急性脑梗死的临床疗效与安全性[J].中国医师进修杂志,2013,36(13):56.
[11]Kim KA,Park PW,Hong SJ,et al.The effect of CYP2C19 polymorphism on the pharmacokinetics and pharmacodynamics of clopidogrel:a possible mechanism for clopidogrel resistance[J].Clin Pharmacol Ther,2008,84(2):236.
[12]Gilard M,Amaud B,Comily JC,et al.Influence of omeprazole on the antiplatelet action of clopidogrel associated with aspirin:the randomized,double-blind OCLA(Omeprazole Clopidogrel Aspirin)study[J].J Am Coll Cardiol,2008,51(3):256.
[13]Sibbing D,Morath T,Stegherr J,et al.Impact of proton pump inhibitors on the antiplatelet effects of clopidogrel[J].Thromb Haemost,2009,101(4):714.
[14]Juurlink DN,Gomes T,Ko DT,et al.A population-based study of the drug interaction between proton pump inhibitors and clopidogrel[J].CMAJ,2009,180(7):713.
[15]王贺,杨启文,徐英春,等.产超广谱β内酰胺酶肠杆菌科对头孢美唑等抗菌药物的体外敏感性分析[J].中华医院感染学杂志,2008,18(6):850.
[16]奚勇强.在抗生素治疗中的药理学指数[J].国外医药:抗生素分册,2004,25(3):120.
基本信息:
DOI:10.19577/j.cnki.issn10074406.2016.06.014
中图分类号:R743.33
引用信息:
[1]石晓萍,潘雯,吕迁洲.临床药师参与1例脑梗死住院患者治疗的药学监护[J].中国临床药学杂志,2016,25(06):380-383.DOI:10.19577/j.cnki.issn10074406.2016.06.014.
2016-11-25
2016-11-25