1例胰岛素过敏患者行脱敏疗法的药学监护.doc

1例胰岛素过敏患者行脱敏疗法的药学监护 周琴 虞燕霞 季林山 尚尔宁 南京医科大学附属苏州医院药剂科，江苏 苏州215002 [摘要] 目的：探讨临床药师对胰岛素过敏患者在脱敏治疗过程中药学监护的模式与方法。方法：以具体的脱敏治疗为例，介绍临床药师协助医师制订治疗方案、配置脱敏液、对脱敏治疗进行全程监护、对患者及其家属进行用药教育、心理疏导。结果：药师在监护中成功参与了整个治疗过程，有利于患者治疗的顺利进行。结论：药师参与胰岛素过敏患者的脱敏治疗，保证了患者脱敏治疗的安全性和有效性，明显提高患者的用药依从性。 [关键词] 胰岛素；脱敏疗法；药学监护 Pharmaceutical care for the desensitization treatment of a patient with insulin allergy ZHOU Qin, YU Yan-xia, JI Lin-shan, SHANG Er-ning Department of Pharmacy, the Affiliated Suzhou Hospital of Nanjing Medical University, Jiangsu Suzhou 215002, China ABSTRACT: OBJECTIVE To discuss the methods and directions of pharmaceutical care for the desensitization treatment of a patient with insulin allergy. METHODS Taking the treatment of desensitization case as an example, those were introduced that pharmacist’ involvement in assisting doctors to establish the treatment plan, preparation desensitizer, monitoring the whole period of desensitization treatment, carrying out medication education and dredging psychotherapy to the patient and their family members. RUSULTS The pharmacists succeed in taking part in the treatment and smooth the progress of therapy. CONCLUSION The practice of pharmaceutical care can improve the drug use compliance of patients and ensure safe and effective treatment. Key words: Insulin; Desensitization treatment; Pharmaceutical care 胰岛素主要用于胰岛素依赖型糖尿病以及部分非胰岛素依赖型糖尿病的治疗[1]，在糖尿病治疗中占有重要的地位。有少数患者在使用胰岛素的过程中会出现过敏反应。对于这一类患者可以使用脱敏疗法[2]。近日，我院收治一例人胰岛素过敏患者，采用脱敏治疗后病情得到有效控制。临床药师全程参与了治疗过程，并对患者进行了有效的药学监护，现对其进行分析和讨论。 1 临床资料 患者，男性，45岁，4年前因出现口干多饮多尿伴消瘦，体重下降约10余斤，查空腹血糖：10mmol?L-1，来我院治疗，后多次测得血糖值均显著偏高于正常，明确诊断为糖尿病，先后给予阿卡波糖格列吡嗪 2 / 5