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目的:通过参与短肠综合征(SBS)伴胆汁淤积患儿的营养支持治疗以及药学监护,探讨临床药师合理参与临床SBS药学监护的方法,发挥临床药师在营养支持小组(NST)的作用。方法:临床药师通过参与1例SBS伴胆汁淤积患儿的营养治疗过程,参与制订个体化给药方案和药学监护计划。结果:合理的肠外肠内营养治疗有利于SBS伴胆汁淤积患儿维持生命,增强患儿的肠内耐受性,减少并发症,改善预后。结论:临床药师可协同临床医师、营养师优化治疗方案,实施药学监护,促进营养支持治疗的合理使用。
OBJECTIVE: To explore the role of clinical pharmacists in the rational participation of clinical pharmacists in clinical SBS by participating in nutritional support and pharmacy care in children with short-bowel syndrome (SBS) and cholestasis and to play the role of clinical pharmacists in nutrition support group (NST). Methods: The clinical pharmacists participated in the formulation of individualized dosing regimens and pharmacy care plans by participating in the nutritional treatment of one patient with SBS and cholestasis. Results: Reasonable parenteral enteral nutrition treatment is beneficial to the survival of children with SBS with cholestasis, enhancing intestinal enteral tolerability, reducing complications and improving prognosis. Conclusion: Clinical pharmacists can work with clinicians and nutritionists to optimize the treatment plan, implement the pharmacy supervision and promote the rational use of nutrition supportive therapy.