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引用本文:周晓辉,吴清华,邱博,王娜,张博,许娇娇,王淑梅.1例阻塞性睡眠呼吸暂停低通气综合征相关难治性高血压患者降压治疗的药学服务[J].中国现代应用药学,2022,39(5):669-674.
ZHOU Xiaohui,WU Qinghua,QIU Bo,WANG Na,ZHANG Bo,XU Jiaojiao,WANG Shumei.Pharmaceutical Care for Antihypertensive Therapy in a Case of Refractory Hypertension Associated with Obstructive Sleep Apnea Hypopnea Syndrome[J].Chin J Mod Appl Pharm(中国现代应用药学),2022,39(5):669-674.
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1例阻塞性睡眠呼吸暂停低通气综合征相关难治性高血压患者降压治疗的药学服务
周晓辉1, 吴清华2, 邱博3, 王娜1, 张博1, 许娇娇1, 王淑梅1
1.沧州市人民医院药学部, 河北 沧州 061000;2.沧州市中心医院心血管内六科, 河北 沧州 061001;3.河北省人民医院, 石家庄 050051
摘要:
目的 探讨临床药师在阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea-hypopnea syndrome,OSAHS)相关难治性高血压个体化、全程化的药物治疗中的作用。方法 临床药师全程参与1例OSAHS相关难治性高血压患者的药物治疗,关注降压疗效及不良反应,并对治疗过程中的药物优化调整给出专业的药学建议,提供用药指导。结果 通过对患者治疗方案的优化,患者血压、心率控制良好,避免了严重不良反应的发生,提高了医师与患者对临床药师的信任程度。结论 临床药师深入临床,对OSAHS相关难治性高血压患者实施药学监护,提高了患者血压的达标率、用药安全性和依从性,促进了临床合理用药。
关键词:  临床药师  高血压  阻塞性睡眠呼吸暂停  药学服务
DOI:10.13748/j.cnki.issn1007-7693.2022.05.016
分类号:R969.3
基金项目:
Pharmaceutical Care for Antihypertensive Therapy in a Case of Refractory Hypertension Associated with Obstructive Sleep Apnea Hypopnea Syndrome
ZHOU Xiaohui1, WU Qinghua2, QIU Bo3, WANG Na1, ZHANG Bo1, XU Jiaojiao1, WANG Shumei1
1.Department of Pharmacy, Cangzhou People's Hospital, Cangzhou 061000, China;2.Six Department of Cardiology, Cangzhou Central Hospital, Cangzhou 061001, China;3.Hebei People's Hospital, Shijiazhuang 050051, China
Abstract:
OBJECTIVE To explore the role of clinical pharmacists in individualized and whole-process drug therapy of obstructive sleep apnea-hypopnea syndrome (OSAHS) related refractory hypertension. METHODS Clinical pharmacists participated in the drug treatment of a patient with OSAHS-related refractory hypertension, paying attention to the antihypertensive efficacy and adverse reactions, provided professional pharmaceutical advice on drug optimization and adjustment in the treatment process, and provided medication guidance.RESULTS The patient's blood pressure and heart rate were well controlled through the optimization of the treatment plan, which avoided the occurrence of serious adverse reactions and improved the trust of doctors and patients to clinical pharmacists.CONCLUSION Clinical pharmacists' in-depth clinical care of patients with refractory hypertension related to OSAHS can improve the compliance rate of patients' blood pressure, medication safety and compliance, improve the compliance rate of blood pressure, and promote rational clinical medication.
Key words:  clinical pharmacist  high blood pressure  obstructive sleep apnea  pharmaceutical care
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