杨琦

摘 要 随着慢性病管理工作在社区卫生服务中心的逐步開展，糖尿病诊治已从单纯的药物治疗发展为综合防治。推广以社区临床药师为主导的糖尿病患者管理工作，在保障社区患者用药安全、提升社区药学服务质量方面具有重要意义。社区药学服务提供的干预措施主要包括患者用药教育、定期药学随访、参与患者治疗方案制订和临床用药评价等，这些措施有助于社区糖尿病患者的综合管理，并能有效提升糖尿病患者的治疗效果与生存质量。因此，有必要在社区开展以临床药师为主导的糖尿病患者用药管理。

关键词 社区临床药师;糖尿病患者管理;药学服务

中图分类号：R192.8 文献标志码：A 文章编号：1006-1533（2021）04-0015-03

*基金项目：上海市徐汇区医学科研青年项目（SHXH201851）

Analysis of the necessity of community clinical pharmacists participating in diabetes management

YANG Qi

（Medicament Department of Lingyun Community Health Service Center of Xuhui District， Shanghai 200237， China）

ABSTRACT With the gradual development of chronic disease management in community health service centers， the diagnosis and treatment of diabetes has developed from simple drug treatment to comprehensive prevention and treatment. It is of great significance to promote the management of diabetic patients with community clinical pharmacists as the leading factor in ensuring the medication safety of community patients and improving the quality of community pharmaceutical care. Intervention measures provided by the community pharmaceutical care mainly include medication education for patients， regular pharmaceutical follow-up， participation in the formulation of patient treatment plan and clinical medication evaluation， etc. These measures are helpful to the comprehensive management of community diabetic patients， and can effectively improve the treatment effect and quality of life of diabetic patients. Therefore， it is necessary to carry out drug administration for diabetic patients with clinical pharmacists as the leading factor in the community.

KEY WORDS community clinical pharmacist; management of the diabetic patient; pharmaceutical care

糖尿病属于慢性内分泌代谢疾病，其患病率随着城镇居民生活水平的提升、人口老龄化的加剧和居民生活方式的改变而逐渐增高[1]。中国2型糖尿病防治指南（2017年版）[2]显示，我国成年人糖尿病患病率为10.9%，40岁以下患病率高达5.9%，发病年龄趋于年轻化[3]。长期碳水化合物及脂肪、蛋白质代谢紊乱可引起多系统损害，病情严重或应激时可发生严重急性代谢紊乱，如糖尿病酮症酸中毒、高血糖高渗状态等[4]。

随着慢性病管理工作在社区卫生服务中心的逐步开展，糖尿病诊治已从单纯的药物治疗发展为综合防治[5]。糖尿病治疗的目标不仅是纠正代谢紊乱、防治和延缓并发症的发生，还应考虑是否能有效提升患者的生命质量[6]。……