某院540份肠外营养制剂医嘱合理性分析  

Analysis on the Rationality of Using Parenteral Nutrition Drugs in 540 Prescription

作　　者：曾玉兰 叶岩荣 ZENG Yu-lan;YE Yan-rong(Department of Pharmacy,Xiamen Branch,Zhongshan Hospital,Fudan University,Xiamen Fujian 361015,China)

机构地区：[1]复旦大学附属中山医院厦门医院药剂科,福建厦门361015

出　　处：《药品评价》2020年第1期15-18,共4页Drug Evaluation

摘　　要：目的:为肠外营养的临床合理用药提供参考。方法:提取某院2017年01月至2018年06月使用肠外营养制剂病历,随机抽取540份,结合患者营养状况,临床诊断和实验室检查结果,对其肠外营养医嘱的合理性进行分析。结果:540份肠外营养医嘱中,不合理用药医嘱161份,不合理用药率为29.8%。肠外营养医嘱不合理用药主要表现为给药途径不当(39份,占24.2%),药品遴选不适宜(38份,占23.6%),溶媒不适宜(37份,占23.0%)等。结论:开具肠外营养处方时,应充分考虑患者的基本情况,同时兼顾肠外营养制剂的合理使用。Objietive: To provide reference for rational use of parenteral nutrition. Methords: Combining with the patients’ nutritional status, clinical diagnosis and lab-examination, 540 parenteral nutrition medical orders were collected from our hospital during Jan. 2017-Jun. 2018, and then analyzed in respects of the rationality of drug application. Results: Of the 540 prescriptions, 161 prescriptions were irrational with the rate of 29.8%. The irrational application cases of parenteral nutrition drugs mainly performed as improper administration(39 cases, 24.2%), improper drug selection(38 cases, 23.6%), improper solvent(37 cases, 23.0%), etc. Conclusions: Parenteral nutrition design need to not only consider about the basic conditions of patients, but also take into account the rational use of parenteral nutrition drugs.

关 键 词：肠外营养 处方点评 合理用药 

分 类 号：R95[医药卫生—药学]