胡芸芸 张夏兰 沈夕坤 朱伟明

[摘要]药物相关问题（DRP）是指一个实际存在或可能存在的影响健康保健结果的药物治疗事件或情况。欧洲药学监护网络基金会（PCNE）DRP 分类工具（V9.0）可以对 DRP 进行分类，并记录解决这些 DRPs 的整个过程。在肿瘤科实际用药中存在诸多用药相关问题，主要分布于用药适应证、安全性、适宜性、依从性等多方面。中药临床药师可通过开展医嘱审核、药学监护、药品不良反应（ADR）识别、用药指导和依从性教育等工作去发现 DRPs 并进行分析与干预。但中药临床药师起步较晚，工作模式尚未统一，还处于探索阶段。因此，需要中药临床药师在临床工作中不断总结经验，完善中药临床药师的工作模式。

[关键词]中药临床药师;肿瘤科;药物相关问题;合理用药

[中图分类号] R95  [文献标识码] A   [文章编号]2095-0616（2021）24-0133-05

Analysis and discussion by clinical pharmacists of traditional Chinese medicine on drug-related problems in oncology department

HUYunyun1ZHANGXialanSHENXikunZHUWeiming

1. Department of Pharmacy， Suzhou Xiangcheng People's Hospital， Jiangsu， Suzhou 215131， China;2. Department of Pharmacy， Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine， Jiangsu， Suzhou 215009， China

[Abstract] A drug-related problem （DRP） refers to an actual or possible drug treatment event or condition that affects health care outcomes. The Pharmaceutical Care Network Europe Foundation （PCNE） DRP Classification Tool （V9.0） is used to classify DRPs and the entire process of solving these DRPs is recorded. There are many DRPs in the actual medication in oncology department， mainly distributing in medication indications， safety， suitability， and compliance. Clinical pharmacists of traditional Chinese medicine may discover， analyze and intervene in DRPs by conducting medical order review， pharmaceutical monitoring， adverse drug reaction identification， medication guidance， and compliance education. However， the position of clinical pharmacists of traditional Chinese medicine appears relatively late， and their working patterns have not yet been unified and are still in the exploratory stage. Therefore， it is necessary for clinical pharmacists of traditional Chinese medicine to continuously sum up their experience in clinical work and improve their working mode.

[Key words] Clinical pharmacists of traditional Chinese medicine; Oncology; Drug-related problems; Rational drug use

中醫药在抗肿瘤方面具减轻放化疗不良反应、提高患者生活质量、减少术后复发、减缓肿瘤生长等独特的优势，现已被临床广泛接受。但随着中医药治疗的进一步推广，中药不合理应用现象日渐增多[1-2]。研究表明中药临床药师参与临床、提供药学服务，可以提高用药的合理性、提高患者的依从性[3]。

药物相关问题（drug-related problems， DRP）是指一个实际存在或可能存在的影响健康保健结果的药物治疗事件或情况。药师的核心工作是解决临床药物相关问题。药师通过开展药物重整、医嘱审核、药学监护、ADR 识别、用药指导和依从性教育等工作发现并解决临床上正在发生或潜在的DRP。……