摘要
合理或不合理用药是相对的,在临床工作中不能绝对化。首先,合理用药的目的是相对的,安全、有效、经济很难完全满足。其次,合理用药要求的内容是相对的,对于一个具体患者,药物治疗要符合病情、患者和药学的全部特点并非易事。再者,判断合理用药与否的主要依据(如临床资料、临床试验结果等)的可靠性或可信性也不是绝对的。最后必须指出,合理用药的结果受到诸多因素的影响,不一定理想,不一定令人满意。在临床工作中,应尽可能避免不合理用药,若无法避免,可先评估得失和权衡利弊,然后做出科学决策,并加强药学监护和医患沟通。
Rational or irrational drug use is actually relative. The aims of rational drug use are safety, effectiveness and economy, all of which can＇t be always satisfied together. Otherwise, any treatment protocol can not be fit to all of the characteristics of disease, patients and pharmacy. The judgment of rational drug use is also related owing to the relativity of the credibility and reliability of the results of clinical trials and clinical information, etc. At last, we must emphasize that the result of rational drug use is not always satisfactory, as it might be influenced by many factors. In clinical work, we must do our best to avoid irrational drug use. But if can＇t, we should estimate the benefits and harms, and then make scientific decision. Furthermore, pharmaceutical care and doctor-patient communication should be enhanced.
出处
《医学与哲学（B）》
2014年第6期1-4,共4页
Medicine & Philosophy(B)
关键词
合理用药
相对性
药学监护
rational drug use, relativity, pharmaceutical care
