中药临床药师在重症医学科药学实践模式的探讨
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摘要
目的:探讨中药临床药师参与重症医学科药学实践模式的建立。方法:文章介绍了我院ICU中药临床药师正在开展的中药临床药师药学服务模式,从药学查房、中药药学监护、中药医嘱审核、中药不良反应监测、中药用药咨询和中药药学培训等内容出发,阐述了我院ICU中药临床药师在开展有关中药合理用药药学服务的主要内容。结果:该实践模式在提供中药临床药学服务上取得一定效果,但目前实践模式尚不成熟,仍在探索阶段。结论:建立具有中医药特色的中药临床药学实践模式十分重要,中药临床药师需在实践中继续探索科学、合理的中药临床药师药学服务模式。
Objective: To study traditional Chinese medicine( TCM) clinical pharmacists participating in the construction of pharmaceutical practice in ICU. Methods: The pharmaceutical service mode of TCM clinical pharmacists in ICU of our hospital was introduced,and the service contents of TCM clinical pharmacists were elaborated including pharmaceutical ward round and pharmaceutical monitoring,doctor's advice examination,adverse reaction monitoring,drug consultation and training for TCM. Results: The practice mode for Chinese medicine clinical pharmaceutical services in our hospital achieved a certain effect,while the current mode was not yet mature,and still in the exploratory stage. Conclusion: The establishment of traditional Chinese medicine clinical pharmaceutical practice mode with TCM characteristics is very important,and Chinese medicine clinical pharmacists should continue to explore more scientific and reasonable practice mode.
Objective: To study traditional Chinese medicine( TCM) clinical pharmacists participating in the construction of pharmaceutical practice in ICU. Methods: The pharmaceutical service mode of TCM clinical pharmacists in ICU of our hospital was introduced,and the service contents of TCM clinical pharmacists were elaborated including pharmaceutical ward round and pharmaceutical monitoring,doctor's advice examination,adverse reaction monitoring,drug consultation and training for TCM. Results: The practice mode for Chinese medicine clinical pharmaceutical services in our hospital achieved a certain effect,while the current mode was not yet mature,and still in the exploratory stage. Conclusion: The establishment of traditional Chinese medicine clinical pharmaceutical practice mode with TCM characteristics is very important,and Chinese medicine clinical pharmacists should continue to explore more scientific and reasonable practice mode.
引文
1王维,叶强.医疗机构开展中药临床药学服务模式的探索[J].中医学管理杂志,2017,25(6):164-166
2 梅全喜.中药临床药学工作开展现状与未来发展的策略[J].中国药师,2015,18(6):952-957
3 陈腾飞,刘清泉.中医药与急诊重症医学[J].中华中医药杂志,2016,9(31):3412-3416
4 刘清泉.中医急诊学[M].北京:中国中医药出版社,2016:53
5 徐坡,孙腾,朱洪.大剂量生黄芪在ICU中的应用[J].新中医,2011,43(1):156-158
6 唐志芳,梅全喜.临床常用西药与中药的配伍禁忌[J].中国药师,2016,19(10):1946-1949
7 聂安政,朱春胜,张冰.中药特殊煎法的探讨与思考(一):先煎[J].中草药,2018,49(4):1716-1720
8 孔令雷,胡金凤,陈乃宏.香豆素类化合物药理和毒理作用的研究进展[J].中国药理学通报,2012,28(2):165-169
9 孔雪云,陈琦,吴祥,等.中西药联用相互作用研究进展[J].南京中医药大学学报,2018,34(1):5-11
10 曹建华.中药注射剂临床使用安全性的探讨[J].中华中医药学刊,2007,25(10):2196
11 王维,叶强.医疗机构开展中药临床药学服务模式的探索[J].中医药管理杂志,2017,25(3):164-166
12 闫建辉.中药临方炮制[J].中医临床研究,2018,10(4):8-9
13 郭桂明,王宏蕾,范峥.试论如何开展中药煎服和临方炮制相关的中药临床药学服务[J].中国药师,2015,18(6):1526-1529
14 陆祥.中药炮制饮片对治疗慢性阻塞性肺疾病急性发作期的临床疗效的影响(附76例对比报告)[J].浙江中医药大学学报,2013,37(6):717-719
15 陆兔林,苏联麟,季德,等.CYP450酶与中药代谢相互作用及酶活性测定的研究进展[J].中国中药杂志,2015,9(40):3524-3529
16 金锐,王宇光,曾蔚欣,等.中药临床药学服务质量评价的初步探索[J].中国医院药学杂志,2014,34(9):1513-1516
2 梅全喜.中药临床药学工作开展现状与未来发展的策略[J].中国药师,2015,18(6):952-957
3 陈腾飞,刘清泉.中医药与急诊重症医学[J].中华中医药杂志,2016,9(31):3412-3416
4 刘清泉.中医急诊学[M].北京:中国中医药出版社,2016:53
5 徐坡,孙腾,朱洪.大剂量生黄芪在ICU中的应用[J].新中医,2011,43(1):156-158
6 唐志芳,梅全喜.临床常用西药与中药的配伍禁忌[J].中国药师,2016,19(10):1946-1949
7 聂安政,朱春胜,张冰.中药特殊煎法的探讨与思考(一):先煎[J].中草药,2018,49(4):1716-1720
8 孔令雷,胡金凤,陈乃宏.香豆素类化合物药理和毒理作用的研究进展[J].中国药理学通报,2012,28(2):165-169
9 孔雪云,陈琦,吴祥,等.中西药联用相互作用研究进展[J].南京中医药大学学报,2018,34(1):5-11
10 曹建华.中药注射剂临床使用安全性的探讨[J].中华中医药学刊,2007,25(10):2196
11 王维,叶强.医疗机构开展中药临床药学服务模式的探索[J].中医药管理杂志,2017,25(3):164-166
12 闫建辉.中药临方炮制[J].中医临床研究,2018,10(4):8-9
13 郭桂明,王宏蕾,范峥.试论如何开展中药煎服和临方炮制相关的中药临床药学服务[J].中国药师,2015,18(6):1526-1529
14 陆祥.中药炮制饮片对治疗慢性阻塞性肺疾病急性发作期的临床疗效的影响(附76例对比报告)[J].浙江中医药大学学报,2013,37(6):717-719
15 陆兔林,苏联麟,季德,等.CYP450酶与中药代谢相互作用及酶活性测定的研究进展[J].中国中药杂志,2015,9(40):3524-3529
16 金锐,王宇光,曾蔚欣,等.中药临床药学服务质量评价的初步探索[J].中国医院药学杂志,2014,34(9):1513-1516