医院肠内营养液应用分析  

Clinical study of enteral nutrition at hospital

作　　者：王怡[1] 

机构地区：[1]江苏省老年医院药学部,南京210024

出　　处：《中国医药》2015年第9期1377-1381,共5页China Medicine

摘　　要：目的 分析医院内肠内营养液的使用情况,为临床合理用药提供参考.方法 统计江苏省老年医院201 1年1月至2013年12月肠内营养液的使用品种、使用数量、销售金额及用药部门数据,分析其临床应用情况.结果 2011、2012及2013年肠内营养液用药品由3种变为5种,包括肠内营养混悬液TPF、肠内营养乳剂TPF-T、肠内营养混悬液SP、肠内营养混悬液TP-MCT和肠内营养混悬液TPF-D;销售金额逐年增加,2011、2012和2013年依次为39.77、49.04及77.25万元,占西药总金额的比例分别为1.4％、1.6％和2.3％,其中TPF和TPF-T居于前2位;除TPF外,余肠内营养液药物用药频度（DDDs）逐年上升,其中TPF DDDs值3年均居于首位,其次为TPF-T,2013年TP-MCT DDDs升至第3位,SP DDDs排名逐年下降,由2011、2012年的第3位降至2013年的第5位;2011、2012和2013年TPF、TPF-T、TP-MCT销售总金额/DDDs排序比及201 1年和2012年SP和TPF-D销售总金额/DDDs排序比均为1,2013年TPF-D销售总金额/DDDs排序比为1.25,用药金额与数量的同步性良好;2013年SP销售总金额/DDDs排序比为0.8,存在不合理用药现象.临床各科室使用肠内营养液的品种各不相同,其中重症监护病房中,除了TPF外,更多选择SP和TP-MCT,肿瘤科则多选择TPF-T.结论 肠内营养液在本院临床治疗中地位日趋显著,临床的重视程度不断提高.Objective To analyze the use of enteral nutrition and provide reference for clinical rational drug useat hospital.Methods The type,consumption,quantity and use frequency of enteral nutrition drugs at Jiangsu Province Geriatric Hospital from January 2011 to December 2013 were collected and the clinical application of enteral nutrition drugs was analyzed.Results The types of enteral nutritional drugs increased from 3 to 5 from 2011 to 2013,including enteral nutritional suspension TPF,enteral nutritional emulsion TPF-T,enteral nutritional suspension SP,enteral nutritional suspension TP-MCT and enteral nutritional emulsion TPF-D.The consumption sum of enteral nutritional drugs showed an increasing trend during 2011 to 2013,which was 397.7,490.4,772.5 thousand Yuan in 2011,2012 and 2013,accounting for 1.4%,1.6%,2.3% of total consumption sum of Western medicine,respectively ; TPF and TPF-T ranked top two among them.The drug use frequency （DDDs） of most enteral nutritional drugs increased with years：the DDDs of TPF was on the top for all the three years followed by TPF-T,TP-MCT had become the third in 2013,while SP DDDs ranked down year by year from the third in 2011 and 2012 to the bottom in 2013.The total amount of sales/DDDs sorting ratios of TPF,TPF-T,TP-MCT in 2011 to 2013,of SP and TPF-D in 2011 and 2012 were all 1,the ratio of TPF-D in 2013 was l.25,which indicated the good synchronization of consumption money and number,while the ratio of SP was 0.8 in 2013 which indicated abuse of the drug.The types of enteral nutrition used in different departments were various; in intensive care unit,TPF was the most commonly used,followed by SP and TP-MCT,while in department of oncology TPF-T was preferred.Conclusion The clinical application of enteral nutrition is reasonable and recieves greater attention.

关 键 词：肠道营养 治疗应用 用药频度 

分 类 号：R459.3[医药卫生—治疗学]