首页|1例难治性癌痛的药物转换及药学监护

1例难治性癌痛的药物转换及药学监护

Drug Conversion and Pharmaceutical Monitoring of a Case of Refractory Cancer Pain

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目的 探讨临床药师在难治性癌痛患者中的个体化药学服务,为该类患者药学监护提供参考.方法 通过参与1 例晚期胃癌伴难治性癌痛患者出现阿片类药物耐受后的药学监护,临床药师对其镇痛方案分析,综合疼痛评估,及时优化给药方案,将吗啡转换为氢吗啡酮,快速有效地控制疼痛.结果 患者疼痛缓解,未出现爆发痛,患者生活质量改善.结论 临床药师对难治性癌痛患者开展目标性药学服务,不断提高专业能力,在疼痛治疗团队中发挥了重要的协作作用.
OBJECTIVE To explore the individualized pharmaceutical services provided by clinical pharmacists in patients with refractory cancer pain,providing reference for pharmaceutical care of such patients.METHODS By participating in pharmaceutical monitoring of a patient with advanced gastric cancer and refractory cancer pain who developed opioid tolerance,the clinical pharmacists analyzed her previous pain relief plans,comprehensively evalua-ted the pain,applied optimum regimen to clinic,converted morphine into hydromorphone,and achieved rapid and ef-fective pain control.RESULTS Patient pain was relieved,and her living quality improved obvious-ly.CONCLUSION Clinical pharmacists provide targeted pharmaceutical services to patients with refractory cancer pain,and playing an important collaborative role in the pain treatment team.

Clinical pharmacistsRefractory cancer painHydromorphonePharmaceutical care

何素梅、仇俊兰、施怡、张冠英、江翊国

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南京大学医学院附属苏州医院,药学部,江苏苏州 215153

南京大学医学院附属苏州医院,肿瘤科,江苏苏州 215153

临床药师 难治性癌痛 氢吗啡酮 药学监护

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(2)
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