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目的:分析临床药师如何协助医生发现并正确处理药物治疗中的各种矛盾。方法:以1例合并有多种基础疾病的膜性肾病患者的药物治疗为例,阐明临床药师如何协助医生发现并正确处理药物与病理状态,治疗药物之间以及治疗药物自身的矛盾。结果:临床药师在药物治疗中,利用矛盾的普遍性和特殊性、分清主次矛盾,并坚持两点论和重点论相统一的观点,协助医生发现并正确处理了该患者药物治疗过程中的各种矛盾。结论:临床药师利用哲学的矛盾观与方法论,发现并正确处理药物治疗中的各种矛盾,可以优化药物治疗方案,促进临床合理用药。
OBJECTIVE: To analyze how clinical pharmacists can help doctors find and correctly handle various contradictions in drug treatment. Methods: A case of membranous nephropathy complicated with a variety of underlying diseases was taken as an example to illustrate how clinical pharmacists can help doctors find out and correctly handle contradictions between drugs and their pathological states, therapeutic drugs and therapeutic drugs themselves. Results: Pharmacists in the drug treatment, the use of the universality and specificity of contradictions, distinguish between primary and secondary contradictions, and adhere to the two point theory and focus on the unity of point of view to help doctors find and correctly handle the patient during the drug treatment contradiction. Conclusion: The clinical pharmacists use the philosophy of contradiction and methodology to find and correctly handle the various contradictions in drug treatment, drug treatment can be optimized to promote clinical rational use of drugs.