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目的:通过神经内科临床药师参与药物治疗实践,提高心房颤动致脑栓塞患者药物治疗的有效性、安全性,以及患者的用药依从性。方法:临床药师全程积极参与1例心源性脑梗死患者的治疗,在药物的选用、药物相互作用、不良反应的监护、相关指标的监测以及患者出院用药宣教等方面提供药学服务。结果:临床医师与临床药师紧密合作,选用合理药物,避免药物间相互作用;患者服药依从性提高,好转后出院。结论:临床药师积极参与心源性脑梗死患者的药物治疗,可提高药物治疗的有效性和安全性。
OBJECTIVE: To improve the effectiveness and safety of drug treatment in patients with cerebral embolism caused by atrial fibrillation (AF) through the participation of clinical pharmacists in neurology and improve the compliance of the drug. Methods: Clinical pharmacists participated actively in the treatment of one patient with cardio-cerebral infarction. Pharmacological services were provided in aspects of drug selection, drug interactions, monitoring of adverse reactions, monitoring of related indicators, and patient discharge medication. Results: Clinicians worked closely with clinical pharmacists to select rational drugs to avoid drug interactions. Patient compliance with medication was improved and then discharged. Conclusion: Clinical pharmacists actively participate in the drug treatment of patients with cardiac cerebral infarction, can improve the effectiveness and safety of drug treatment.