| 曲衎衎,刘亮,刘海生,等.地西泮治疗酒精所致精神病性障碍合并肝功能异常 1例药学监护[J].安徽医药,2020,24(4):818-822. |
| 地西泮治疗酒精所致精神病性障碍合并肝功能异常 1例药学监护 |
| combined with liver dysfunction:one case of pharmaceutical care |
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| DOI：10.3969/j.issn.1009?6469.2020.04.045 |
| 中文关键词: 酒精诱发性障碍，神经系统 药物疗法管理 γ?谷氨酰转移酶 丙氨酸转氨酶 奥沙西泮 地西泮 |
| 英文关键词: Alcohol?induced disorders,nervous system Medication therapy management Gamma?glutamyltransferase Alanine transaminase Oxazepam Diazepam |
| 基金项目: |
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| 中文摘要: |
| 目的探讨临床药师参与酒精引起的精神病性障碍合并肝功能异常病人治疗方案的制定和药学监护以及人文关怀的方法。方法对无锡市精神卫生中心 2018年 6月收治的 1例酒精引起的精神病性障碍合并肝功能异常病人的戒断治疗方案进行分析，分析苯二氮类药物治疗的机制、选药方法，对病人可能出现的不良反应进行药学监护，并给予人文关怀。结果临床药师分析地西泮可用于合并肝功能异常的由于使用酒精引起的精神病性障碍病人的戒断治疗，该意见被采纳，病人经过治疗后戒断症状明显改善，肝功能指标改善。结论临床药师参与病人治疗及药学监护，协助医生进行给药方案的调整，并给予人文关怀，有助于治疗的安全性和有效性。 |
| 英文摘要: |
| Objective To discuss clinical pharmacists participation in formulating the theraputic schedule，pharmacutical care as well as humanistic care of alcohol induced mental disorder combined with abnormal liver function.Methods The treatment plan ofone patient with alcohol induced mental disorder combined with abnormal liver function in Wuxi Mental Health Center in June2018 was analyzed.The mechanism and medicine selection of benzodiazepine was analyzed to alcohol induced mental disorder com?bined with abnormal liver function.Pharmacutical care as well as humanistic care were given to the patient in order to avoiding pos?sible adverse reaction.Results Diazepam could be used for the withdrawal treatment of patients with alcohol?related psychiatricdisorders combined with liver dysfunction analyzed by clinical pharmacists.This opinion was adopted，and the patient’s withdrawal symptoms and liver function indicators improved significantly after treatment.Conclusion It was contributed to security and effec? tiveness with clinical pharmacisit participating in the treatment，pharmacutical care as well as humanistic care for patient. |
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