摘要
目的:探讨临床药师在急性重症胰腺炎患者临床营养治疗中的作用,促进临床营养药物的合理应用。方法:通过临床药师参与1例急性重症胰腺炎的案例,分析急性重症胰腺炎患者的规范化营养药物治疗。该患者在症状体征逐渐改善的前提下,于肠外营养(PN)支持10 d后启动了肠内营养(EN)支持,实行PN+EN联合方案,从鼻饲小剂量EN液开始,逐渐增量,再过渡到全EN方案。结果与结论:临床药师通过评估患者营养状态、设计个体化的营养药物治疗方案并进行监护和调整,提高了营养治疗的效果,改善了患者预后。临床药师对急性重症胰腺炎患者的临床营养治疗开展药学监护是很有必要的。
OBJECTIVE： To investigate the role of clinical pharmacist participating in clinical nutritional treatment for severe acute pancreatitis （SAP）, and to promote rational use of nutritional drug. METHODS： The standard clinical nutritional treatment for severe acute pancreatitis was analyzed according to 1 case of individualized nutritional drug therapy. Based on the improvement of symptoms and signs, enteral nutrition （EN） support was provided 10 days after supplying parenteral nutrition （PN）, as PN＋EN scheme. Small dose of EN was given by nasal feeding at the beginning and increased gradually, and then transited to total EN scheme. RESULTS＆CONCLUSIONS： Clinical pharmacists improve therapeutic efficacy and outcome of nutritional treatment by evaluating the patient＇s condition, designing, monitoring and modifying individualized nutritional treatment. It is necessary for clini- cal pharmacists to provide pharmaceutical care in nutritional treatment for patients with severe acute pancreatitis.
出处
《中国药房》
CAS
CSCD
2013年第42期4017-4019,共3页
China Pharmacy
关键词
临床药师
急性重症胰腺炎
临床营养治疗
药学监护
Clinical pharmacist
Severe acute pancreatitis
Clinical nutritional treatment
Pharmaceutical care
