某儿童医院重症监护室患儿鼻饲给药合理性分析  

Application Rationality of Nasogastric Dosing for Children in Intensive Care Unit of a Children’s Hospital

作　　者：周宬玥 蔡和平 罗志红 方辉 Zhou Chengyue;Cai Heping;Luo Zhihong;Fang Hui(Anhui Provincial Children’s Hospital,Anhui Institute of Pediatric Research,Hefei 232000,China)

机构地区：[1]安徽省儿童医院,安徽省儿科医学研究所,合肥232000

出　　处：《儿科药学杂志》2022年第3期13-17,共5页Journal of Pediatric Pharmacy

摘　　要：目的:探讨某儿童医院重症监护室住院患儿鼻饲给药情况并分析其用药合理性,为促进儿童鼻饲给药的合理化和规范化提供参考。方法:选取2019年1-6月该院信息系统(HIS)中230例重症监护室出院患儿一般资料,筛选鼻饲法给药患儿158例,采用描述性统计法对鼻饲给药例次、剂型及合理性进行统计分析。结果:2019年1-6月该院出院患儿共230例,其中经鼻饲给药158例,涉及57个药物品种,鼻饲给药6069例次。使用最多的前3类药物分别为维生素类、营养类及调节水、电解质和酸碱平衡药物(50.87%),神经系统药物(22.06%)和消化系统药物(15.03%),涉及药物剂型包括普通片剂、口服液、颗粒、胶囊等。同一时间点联合用药给药种类最高达每次10种,≥7种药物联用的患儿共17例(10.76%)。结论:该儿童医院鼻饲给药存在不合理用药现象,需进一步丰富医护人员药学专业知识,临床药师应发挥学科优势,在临床用药前实施医嘱干预,保证鼻饲给药的合理性。Objective:To probe into the nasogastric dosing for hospitalized children in intensive care unit of a children’s hospital and analyze the application rationality,so as to provide reference for promoting the rationality and standardization of children’s nasogastric dosing.Methods:General data of 230 discharged children in the hospital information system(HIS)from Jan.to Jun.2019 were selected.A total of 158 cases with nasogastric dosing were screened,and the cases,dosage forms and rationality of nasogastric dosing were statistically analyzed by descriptive statistics.Results:From Jan.to Jun.2019,a total of 230 children were discharged from the hospital,of which 158 children were administered via nasogastric dosing,including 57 kinds of drugs and 6,069 cases of nasogastric dosing.The top three most used drugs were vitamins,nutrition and drugs for regulating water,electrolyte and acid-base balance(50.87%),drugs for nervous system(22.06%)and drugs for digestive system(15.03%),and drug dosage forms included common tablets,oral liquid,granules and capsules.The varieties of drugs used at the same time were up to 10 kinds.There were 17 children(10.76%)with 7 or more drugs.Conclusion:The phenomenon of irrational drug administration in the hospital requires further enrichment of pharmacy expertise of medical and nursing staff,and clinical pharmacists should take advantages of the disciplines to implement medical intervention before clinical drug administration to ensure the rationality of nasogastric dosing.

关 键 词：儿童 鼻饲给药 重症医学科 临床药师 合理用药 

分 类 号：R969.3[医药卫生—药理学]