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目的探讨临床药师在内科住院患者中的药学监护模式。方法临床药师通过参与一例2型糖尿病合并冠心病、心律失常患者的治疗过程,对患者在降糖药物、抗血小板药物、抗心律失常药物等方面提出了参考意见,并提供了个体化药学服务。结果临床药师通过全程的药学监护,及时发现并解决了相关药物治疗问题,为临床提供合理性建议。结论临床药师开展以患者为中心的药学监护,有利于提高药学服务水平和服务质量,在合理用药中发挥重要作用。
Objective To investigate the clinical pharmacist mode of clinical pharmacists in hospitalized patients. Methods By participating in a case of type 2 diabetes mellitus complicated with coronary heart disease and arrhythmia, clinical pharmacists proposed reference suggestions for patients with hypoglycemic drugs, antiplatelet drugs and antiarrhythmic drugs, and provided personalized pharmacy services. Results Clinical pharmacists through the entire pharmacy monitoring, timely detection and solution of the drug treatment problems, to provide reasonable clinical advice. Conclusion Clinical pharmacists carry out patient-centered pharmacy care, which helps to improve the level of pharmacy services and quality of service and plays an important role in rational drug use.