全肠外营养处方的合理性分析  

Rationality analysis of total parenteral nutrition prescription

作　　者：刘绍飞 金洪礼 Liu Shao-fei;Jin Hong-li(Department of Pharmacy,The First Hospital of Zhaotong,Zhaotong 657000,Yunnan,China)

机构地区：[1]云南省昭通市第一人民医院药剂科,云南昭通657000

出　　处：《四川生理科学杂志》2020年第4期415-418,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:分析全肠外营养处方的合理性。方法:选取2019年6月至2020年6月我院应用全肠外营养治疗的成人病人,共793例。统计病人的一般资料。评价热氮比和糖脂比、阳离子浓度、糖胰岛素比以及氨基酸的不合理应用。结果:793例肠外营养治疗病人中,男性482例,女性312例;年龄36.4±17.7岁;疾病以肠梗阻、结直肠癌和膀胱癌多见。制剂成分配比不合理为热氮比和糖脂比不合理,分别为20.18%和17.27%。肠外营养处方在维生素或微量元素,氨基酸等药物的不合理率为15.26%、2.27%和1.89%。结论:我院肠外营养处方存在一定的不合理,以热氮比、糖脂比和微量元素和维生素的不合理,应该受到足够的重视。Objective:To analyze the rationality of total parenteral nutrition prescription.Methods:Seven hundred and ninety-three adult patients with total parenteral nutrition from June 2019 to June 2020 in our hospital were selected.The general information of patients was counted.The unreasonable application of heat nitrogen ratio,sugar lipid ratio,cation concentration,glucose insulin ratio and amino acids were evaluated.Results:There were 482 males and 312 females with an age of 36.4±17.7 years old.The most common diseases were intestinal obstruction,colorectal cancer and bladder cancer.The ratio of heat to nitrogen and sugar to lipid were 20.18%and 17.27%,respectively.The irrational rate of parenteral nutrition prescription in vitamins,microelements,amino acids and other drugs was 15.26%,2.27%and 1.89%.Conclusion:The prescription of parenteral nutrition in our hospital is some unreasonable.The ratio of heat to nitrogen,sugar to lipid,trace elements and vitamins should be paid more attention.

关 键 词：全肠外营养 处方 合理性 

分 类 号：R459.3[医药卫生—治疗学]