临床药师参与重症多发伤伴肝损害患者营养支持的药学实践

摘要

目的：探讨临床药师在重症多发伤伴肝损害患者临床营养支持中的作用，促进临床营养药物的合理应用。方法：临床药师深入临床，针对1例重症多发伤伴肝损害患者，分析、讨论其规范化的营养支持方案。结果：临床药师通过评估患者营养状态、设计个体化的营养支持方案并进行监护和调整，提高了营养支持的疗效，改善了患者预后。结论：对重症患者的个体化营养支持进行药学监护很有必要，可确保营养药物得到有效、安全的利用，调节患者的营养状态，减少并发症的发生，改善患者预后。%OBJECTIVE:To probe into the role of clinical pharmacists in clinical nutrition treatment of severe multiple trauma patients with liver damage , so as to promote the rational application of clinical nutrition drugs . METHODS:The clinical pharmacists went into the clinic to analyze and discuss the standardized clinical nutrition treatment for one severe multiple trauma patient with liver damage .RESULTS:The clinical pharmacists improved the therapeutic efficacy and outcome of nutritional treatment by evaluating the patient's nutrition condition , and designing , monitoring and modifying individualized nutritional treatment . CONCLUSIONS: It is necessary for the clinical pharmacists to provide pharmaceutical practice in nutritional treatment for patients with severe multiple trauma , which can help physicians to ensure effective , rational application of clinical nutrition drugs , regulate nutritional status of patients and reduce adverse complications , and improve the prognosis of patients .