在中国的精准医学中,制药护理模式是准确的
Ping Zheng1, Liqian Mo1, Boxin Zhao1
1Clinical Pharmacy Center, Nanfang Hospital, Southern Medical University, No. 1838, Guangzhou Avenue North, Guangzhou City, Guangdong Province, China.
精密药房通过将基于证据的实践与治疗药物监测 (TDM) 和药物基因组学相结合,提高了患者的护理. 这种个性化方法优化了药物的有效性和安全性,用于各种患者群体.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 基因组学就是基因组学.
背景情况:
- 个性化药物护理需要根据患者特定因素 (如遗传学和器官功能) 调整治疗方法.
- 从历史上看,治疗药物监测 (TDM) 自20世纪80年代以来一直提供个性化剂量,产生药理动力学 (PK) /药理动力学 (PD) 数据.
- 药物反应的变化需要超越标准基于证据的药房的先进方法.
研究的目的:
- 在现代制药服务中引入和详细应用精密药房原则.
- 突出TDM,药物基因组学,PK/PD和大数据在个性化医学中的整合.
- 为专门的患者群体概述精密药房服务模型的开发和改进.
主要方法:
- 使用药理动力学/药理动力学 (PK/PD) 建模和定量药理学.
- 采用人口药理动力学和大数据机器学习算法.
- 将药物基因组学分析与TDM集成,以加强药物治疗管理.
主要成果:
- 精密药房服务已经扩展到各种治疗领域,包括抗微生物,抗瘤,抗精神病和免疫抑制药物.
- 个性化药物护理越来越多地适用于高风险患者群体,如重症患者,老年人,儿科和孕妇患者.
- 正在进行的精密药房模型的不断改进为改善患者结果产生了有价值的临床证据.
结论:
- 精密药房代表了个性化患者护理的重大进步,超越了通用治疗方案.
- 通过TDM,药物基因组学和数据分析的协同应用,可以实现高度个性化和有效的药物干预.
- 准确药房服务的持续改进对于推进以证据为基础,以患者为中心的医疗保健和优化药物治疗结果至关重要.
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