肿瘤科临床药师参与癌痛个体化治疗的实践体会

Oncology Clinical Pharmacists Participating in Individualized Treatment of Cancer Pain

关键词:  肿瘤  疼痛  实践  临床药师

Key words:  oncology  cancer pain  practices  clinical pharmacists

摘要:

目的 探讨临床药师如何参与癌性疼痛的治疗，更好地为临床疼痛治疗提供药学服务。方法 临床药师加入疼痛治疗团队，熟练掌握药物不良反应、禁忌证、代谢排泄途径、相互作用等特点，结合考虑患者年龄、并发症、肝肾功能、病史等具体情况，以说明书及相关文献为循证依据，与医师探讨镇痛治疗方案，为患者选用适宜药物。结果 临床药师提出建议及意见多为医师认可并接受，从而提高临床疼痛治疗的合理性，降低或避免不良反应。结论 镇痛治疗中，临床药师可通过全面考虑药物特点并结合患者具体情况，分析比较同类药物，根据患者个体特征，为患者选择最适宜药物。

Abstract:

OBJECTIVE To investigate how clinical pharmacists participate in the treatment of cancer pain, and to improve pharmacy services for pain therapy. METHODS Clinical pharmacists joined cancer pain management team, skillfully mastered drug characteristics such as adverse reactions, contraindications, metabolic excretion pathway, and interaction, considered the specific information of patient's, such as age, complications, liver and kidney function, disease history, etc., then clinical pharmacists based on drug instruction and professional literature, discussed with doctors to selecte appropriate drugs for patients. RESULTS Most recommendations and advices from clinical pharmacists were recognized and accepted by physicians, which improved the rationality of the clinical pain treatment, reduced and avoided adverse reactions. CONCLUSION In cancer pain treatment, clinical pharmacists can through analyzing drug characteristics and patients specific conditions comprehensively, then comparing similar drugs to choose the most appropriate drugs for patients.