骨肉瘤行半骨盆截断术后幻肢痛患者的药学监护
Pharmaceutical care of phantom limb pain after hemipelvic amputation for osteosarcoma
李广瑞 1刘中华1
作者信息
- 1. 济宁医学院附属金乡县人民医院,山东济宁 272200
- 折叠
摘要
目的 探讨临床药师在幻肢痛治疗中的药学监护作用.方法 临床药师通过参与 1 例骨肉瘤患者行半骨盆截断术后幻肢痛的治疗,结合相关指南及文献,对治疗过程中可能引起尿潴留的可疑药物进行评估,并提出相应的治疗方案优化建议.结果 临床药师判断文拉法辛引起尿潴留的可能性大,并提供调整用药方案.调整后,患者的尿潴留症状逐渐缓解消失,幻肢痛得到有效控制.结论 临床药师参与幻肢痛的治疗,能发挥药学专业优势,保障患者用药安全、有效,加速患者康复.
Abstract
Objective To explore the role of clinical pharmacists in the pharmaceutical care of patients with phantom limb pain.Methods Clinical pharmacists participated in the treatment of phantom limb pain after hemipelvic amputation in a patient with osteosarcoma,combined with relevant guidelines and literature,evaluated the suspected drugs that caused urinary retention during the treatment,and proposed a corresponding optimized treatment plan.Results Clinical pharmacists determined that venlafaxine was likely to cause urinary retention,and provided an adjusted medication regimen.After the adjustment,the patient's urinary retention gradually eased and disappeared,and the phantom limb pain was effectively controlled.Conclusion The involvement of clinical pharmacists participate in the treatment of phantom limb pain can leverage pharmaceutical professional advantages,ensuring the safety and efficacy of patient medication,and accelerating patient recovery.
关键词
幻肢痛/普瑞巴林/文拉法辛/尿潴留/药学监护Key words
Phantom limb pain/Pregabalin/Venlafaxine/Urinary retention/Pharmaceutical care引用本文复制引用
基金项目
山东省中医药科技项目(M-2023344)
出版年
2024
NETL
NSTL
万方数据