1例慢性阻塞性肺疾病患者的药学监护

目的：探讨临床药学监护方法，促进药物合理应用。方法：以1例慢性阻塞性肺病患者的诊治过程为例，药师针对药物选择、剂量调整、制订个体化给药方案等实行全程药学监护，包括疗效观察、不良反应监测和患者用药教育、营养支持、免疫治疗等，并进行效果评价。结果：临床药师与临床医师共同制定治疗方案，并对患者实施全程的药学监护，效果良好，患者出院。结论：临床药师对慢性阻塞性肺病患者实行全程药学监护，有效地减少了药品的不良反应，对合理、安全地使用药物起到了良好作用。

Pharmaceutical Care for One Patient with Chronic Obstructive Pulmonary Disease

Objective：To investigate the clinical pharmaceutical care methods and promote rational drug use. Methods：The diag-nosis and treatment process of one patient with chronic obstructive pulmonary disease were used as the examples, the pharmacists par-ticipated in selecting drugs, adjusting dosage and making individual regimen to carry out the pharmaceutical care in the whole treatment process, including observing curative effect, monitoring adverse reactions, implementing patient education,nutritional support, immu-notherapy and the effect evaluation. Results：Clinical pharmacists together with clinicians developed the treatment regimens for the pa-tient with the full implementation of pharmaceutical care, the effect was promising, and the patient recovered and discharged from hos-pital. Conclusion：Clinical pharmacists should implement pharmaceutical care for patients with chronic obstructive pulmonary disease in the whole treatment process, which can reduce drug adverse reactions and interactions effectively, and play an important role in ra-tional and safe drug use.