摘要
目的:探索高血压患者个体化治疗模式,实现血压达标和靶器官保护。方法:依据中国高血压防治指南2010,结合患者的病情和经济承受能力,评价治疗方案的合理性并进行干预。病例A采用了短效制剂,但根据患者具体经济情况和长期承受能力,选择了适合患者的降压药物,并且血压在逐渐趋于达标,体现了降压治疗的个体化原则;病例B依据该患者的血压控制情况和靶器官损害程度,并考虑经济承受能力,对整体治疗方案给予个体化的调整和用药指导,达到了理想的血压控制达标率,预防了亚临床靶器官损害和心脑血管事件的发生。结果与结论:合理评价和干预治疗方案,可提高患者的用药依从性,提高血压达标率以最大限度地降低致残率和致死率,提高患者的生活质量。
OBJECTIVE： To discuss the clinical thinking which focuses on drug therapy, and to summarize the experiences of pharmaceutical care. METHODS： Drug use in a patient with pulmonary infection treated with integrated traditional Chinese and western medicine therapy was analyzed by clinical pharmacist and anti-infective plan was evaluated according to principle for clinical use of antibiotics： for common pathogen, piperacillin/tazobactam combined with levofloxacin were given, and oral administration azithromycin replaced levofloxacin if the disease condition was improved; for antibiotics-related diarrhea, intravenous antibiotics was cancelled and metronidazole 0.4 g was given orally, tid; Bacillus licheniformis capsule and Bifid triple viable capsule were used to regulate intestinal flora, and fluconazol 200 mg was given orally as antifungal therapy; TCM was mainly used for regulating spleen and stomach, excreting dampness and stopping diarrhea. RESULTS： The pulmonary infection had been controlled and diarrhea was also improved. The patient received relevant treatment after discharging from the hospital. CONCLUSIONS： Western medicine is combined with TCM theory for disease diagnose can improve immunologic function and nutritional status so as to control the infection and reduce disease replase.
出处
《中国药房》
CAS
CSCD
2014年第22期2106-2108,共3页
China Pharmacy
关键词
高血压
个体化治疗
评价
干预
Integrated Chinese and western medicine
Pulmonary infection
Analysis of drug use
Pharmaceutical care
