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哺乳期用药咨询策略与实践案例分析
Strategies and Practice of Lactation Medication Consultation
  
DOI:
中文关键词:  哺乳期  乳腺炎  葡萄糖 6 磷酸脱氢酶缺乏  产后抑郁  用药咨询  临床药师
英文关键词:Lactation  Mastitis  Glucose 6 phosphate dehydrogenase deficiency  Postpartum depression  Medication counseling  Clinical pharmacist
基金项目:武汉市卫健委科研基金资助项目(编号:WX16E25)
作者单位
郭珩1 胡磊1 张韶辉1 刘国磊2 胡松1 张耕1 1.武汉市第一医院武汉430030, 2.华中科技大学同济医学院附属协和医院药剂科 
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中文摘要:
      摘 要 目的:总结对哺乳期母亲开展用药咨询的工作经验,为促进哺乳期合理用药提供参考。 方法:对临床药师参与哺乳期乳腺炎、避免葡萄糖 6 磷酸脱氢酶(G6PD)缺乏乳儿用药风险、产后抑郁用药选择、哺乳期抗幽门螺杆菌三联方案替换治疗等典型案例进行分析,探讨临床对哺乳期用药咨询的需求方向、临床药师应关注的切入点、临床药师提供哺乳期用药咨询的策略与技巧。 结果:临床在哺乳期常见疾病的用药选择、特殊乳儿的用药风险评估、哺乳期可替代药物治疗方案的选择等方面对药学服务存在迫切需求。临床药师应兼顾临床、药动学知识,基于循证证据、注重与患者沟通技巧、尊重患者价值观,可以对哺乳期药物治疗效果和用药安全起到很好的促进和保障作用。 结论:特殊人群用药是临床药师服务临床的切入点之一,哺乳期用药咨询可以使哺乳期母亲得到有效治疗的同时,保障乳儿的安全性,加强医患沟通,值得推广。
英文摘要:
      ABSTRACT Objective:To summarize experiences of drug counseling for lactating mothers, and to provide references to promote safe and reasonable drug use during lactation. Methods:We analyzed the cases of lactating mastitis in avoiding the risks of G6PD deficiency in infants, the choices of postpartum depression medication during lactation, the replacement of Helicobacter pylori triple therapy in lactation, and disscussed what clinical pharmacists should focus on, and strategies and techniques for lactation medication consultation. Results: There were urgent needs for pharmaceutical care in drug selection of common diseases in lactation, the risks assessment of lactation for special infants, and the choice of alternative options during lactation. Clinical pharmacists should take into account of clinical and pharmacokinetic knowledge, evidence based evidence, pay attention to communication skills with patients, and patient values to promote the efficacy of treatment and medication safety during lactation. Conclusion:The drug use in special populations is one of the clinical emphasis for clinical pharmacists. Lactation medication consultation can ensure the safety of infants, and strengthen the communication between doctors and patients. It is worth promoting.
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