摘要
临床药师结合2例自身免疫性胰腺炎病例,对自身免疫性胰腺炎患者的糖皮质激素治疗、自身免疫性胰腺炎合并糖尿病的血糖管理、内镜超声引导下细针穿刺围术期抗感染药物的使用以及肝功能异常的治疗四个方面进行分析,总结对于该类患者的治疗药物选择和药学监护内容。药师可从糖皮质激素初始剂量的选择、服药时间和不良反应,自身免疫性胰腺炎患者合并糖尿病的血糖控制目标及降糖药物的选择,内镜超声引导下细针穿刺围操作期感染并发症抗感染药物的选择和肝功能异常时保肝药的使用等多方面协助医师进行全程疗效和安全性监护,进一步提高患者用药依从性、临床疗效和安全性。
In combination with two specific cases of clinical autoimmune pancreatitis(AIP),the treat-ment of glucocorticoid(initial dose,medication duration and adverse reactions)in AIP,the management of blood glucose(objective of blood glucose control and selection of hypoglycemic drugs)in AIP patients with diabetes,the use of anti infective drugs(drug selection and comprehensive efficacy and safety monitoring)during EUS-FNA perioperative period,and the management of treatment of liver dysfunction(use of liver protective drugs)were sorted out and analyzed.For AIP patients,pharmacists can assist physicians in vari-ous aspects of pharmaceutical care,thereby further improving patients’medication compliance and increas-ing the efficacy and safety of treatment.
作者
揭琼
陈禾凤
JIE Qiong;CHEN Hefeng(Department of Pharmacy,the Affiliated Nanjing Hospital of Nanjing Medical University,Nanjing First Hospital,Nanjing 210006,China;Department of Pharmacy,Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200025,China)
出处
《药学与临床研究》
2023年第5期464-467,共4页
Pharmaceutical and Clinical Research
关键词
自身免疫性胰腺炎
糖皮质激素
糖尿病
肝功能异常
药学监护
Autoimmune pancreatitis
Glucocorticoids
Diabetes
Abnormal liver function
Pharmaceutical Care
