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目的探讨临床药师在心房纤颤患者个体化抗凝治疗方案的制订与用药监护中的工作要点。方法临床药师通过参与查房,分析华法林抗凝治疗影响因素和制订个体化抗凝方案,以及安全用药知识宣教等。结果临床药师可参与确定符合患者特点的抗凝强度,积极开展有效合理的药学服务,避免不良反应的发生,提高患者长期抗凝治疗和国际标准化比值(INR)监测的依从性。结论在华法林个体化给药过程中,临床药师能够开展有特色的药学服务工作,提高药物治疗效果。
Objective To explore the main points of clinical pharmacists in the formulation and medication monitoring of individualized anticoagulant therapy in patients with atrial fibrillation. Methods Clinical pharmacists participated in ward rounds, analyzed the influencing factors of warfarin anticoagulation therapy and developed individualized anticoagulation programs, as well as the knowledge of safety medication. Results Clinical pharmacists could participate in determining the anticoagulant intensity in line with the characteristics of patients, and actively carry out effective and reasonable pharmacy services to avoid the occurrence of adverse reactions and improve long-term anticoagulant therapy and compliance with international standardization (INR) monitoring. Conclusion In the individualized warfarin administration process, clinical pharmacists can carry out distinctive pharmacy services to improve the efficacy of drug treatment.