论文部分内容阅读
目的探讨对H7N9流感病毒可能有效的治疗方案以及药学监护思路。方法对临床药师参与的1例人感染H7N9禽流感的药物治疗全过程进行药学监护,并总结分析。结果临床药师对患者的抗病毒、抗细菌和抗炎治疗过程开展药学监护,并对期间出现的肝功能损害进行分析和探讨。结论神经氨酸酶抑制剂可能有效,静注人免疫球蛋白的作用不可忽视,糖皮质激素的使用仍有争议。临床药师必须培养临床思维能力,药学监护以药物疗效为首要出发点,密切关注用药细节,警惕药物不良反应。
Objective To explore the possible treatment of H7N9 influenza virus and the idea of pharmacopeial nursing. Methods Pharmacokinetic monitoring was carried out on 1 case of H7N9 bird flu infected by clinical pharmacists, and the results were summarized and analyzed. Results The clinical pharmacists carried out the pharmacy monitoring on the patients’ anti-virus, antibacterial and anti-inflammatory treatment and analyzed the liver damage during the period. Conclusion Neuraminidase inhibitors may be effective, the role of intravenous human immunoglobulin can not be ignored, the use of glucocorticoid is still controversial. Clinical pharmacists must develop clinical thinking skills, drug monitoring to drug efficacy as the primary starting point, pay close attention to the details of medication, be wary of adverse drug reactions.