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哮喘、COPD是呼吸科常见病、多发病,治疗上经常使用气雾剂。气雾剂装置的操作需要一定技巧,病人常因未能掌握正确的操作方法而影响治疗,因此探讨临床药师在气雾剂使用所起的作用十分重要。结合笔者下的临床工作经验,总结临床药师在气雾剂使用方面需解决的实际问题。临床药师可通过对病人宣教药物的相互作用、演示装置吸入的正确方法、强调装置使用的注意事项等方面提高病人使用气雾剂的依从性。还可通过参与临床治疗组查房,及时发现因气雾剂选用不当造成的药物不良反应。临床药师作为治疗团队的一员,可通过提高病人气雾剂使用的依从性,减少药物不良反应,在哮喘、COPD治疗中发挥应有的作用。
Asthma, COPD is a common respiratory disease, frequently-occurring disease, the treatment is often used aerosol. Aerosol device operation requires some skills, and patients often fail to grasp the correct method of operation and affect the treatment, so to explore the role of clinical pharmacists in aerosol use is very important. Combined with the clinical work experience of the author, summarizes the practical problems that the clinical pharmacist needs to solve in the aerosol application. Clinical pharmacists can improve patient adherence to aerosols by interacting with the patient’s missionary medication, demonstrating the correct method of device inhalation, and emphasizing device precautions. But also by participating in clinical treatment group rounds, timely detection of adverse drug reactions due to improper use of aerosol. As a member of the treatment team, clinical pharmacists can play a role in asthma and COPD treatment by improving patient compliance with aerosol use and reducing adverse drug reactions.