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目的:小结1例急性心肌梗死并发消化道出血患者的药学监护,分析监护效果。方法:从急性心肌梗死、消化道出血的疾病特点及患者的自身因素出发,临床药师为患者实施个体化的药学监护。结果:药学监护提高了患者用药依从性和治疗的有效和安全性。结论:临床药师参与用药实践可提高药物使用的安全性、合理性。
OBJECTIVE: To summarize the medical supervision of patients with acute myocardial infarction complicated by gastrointestinal bleeding and analyze the effect of monitoring. Methods: Based on the characteristics of acute myocardial infarction and gastrointestinal bleeding and the patients’ own factors, clinical pharmacists implemented individualized pharmacy care for patients. Results: Pharmacokinetic monitoring improved patient compliance and treatment efficacy and safety. Conclusion: The participation of clinical pharmacists in the practice of medication can improve the safety and rationality of drug use.