我院全胃肠外营养不合理医嘱分析  

Analysis of Unreasonable TPN Medication Orders in Our Hospital

作　　者：王明辉[1] 张艳华[1] 丁奕[1] 李雪梅[1] 

机构地区：[1]北京大学临床肿瘤学院北京肿瘤医院暨北京市肿瘤防治研究所恶性肿瘤发病机制及转化研究教育部重点实验室,北京市100142

出　　处：《中国药房》2011年第41期3917-3919,共3页China Pharmacy

摘　　要：目的:分析我院全胃肠外营养(TPN)不合理医嘱情况,为提高医院安全用药水平提供参考。方法:依据我院静脉营养液配制原则、药品说明书、《中国药典.临床用药须知》、《临床营养基础》、《临床营养学》及相关文献,对我院2010年1-10月已审核的TPN医嘱进行统计,并对其中不合理医嘱进行分析。结果:共调配医嘱8877组,其中不合理医嘱313组,占总医嘱的3.53%;不合理医嘱中,主要问题为热氮比不合理(32.66%)、电解质用量不合理(16.47%)、糖脂比不合理(14.45%)等。结论:我院TPN医嘱开具基本合理,但仍存在一些问题有待改进,建议药师应适时根据患者情况调整处方用量,以保证患者的用药安全。OBJECTIVE： To analyze inappropriate medication orders of TPN in our hospital, and to provide reference for the safety improvement of drug use in our hospital. METHODS： According to the principles of TPN preparation, package inserts, Chinese Pharmacopeia. Clinical Drug Use Instruction, Basic Knowledge of Clinical Nutrition, Clinical Nutriology and related literatures, reviewed medication orders of TPN were collected from our hospital from Jan. to Oct. in 2010, and unreasonable medication orders were analyzed. RESULTS： A total of 8 877 medication orders were prescribed, among which there were 313 unreasonable medication orders, accounting for 3.53%. The main problems of inappropriate medication orders were inappropriate ratio of non-protein calories to nitrogen （32.66%）, overstandard of electrolyte concentration （16.47%）, inappropriate ratio of glucose to lipid （14.45%）, etc. CONCLUSION： The medication orders of TPN in our hospital are essentially reasonable. There are still some problems which need to be further improved. Pharmacists should adjust the drug dose in medication orders according to patient＇s condition to ensure the medication safety of patients.

关 键 词：全胃肠外营养 不合理医嘱 分析 

分 类 号：R977.9[医药卫生—药品]