新生儿科701张肠外营养处方合理性分析  

Rationality of 701 Prescriptions for Parenteral Nutrition in the Neonatology Department

作　　者：王涛 王欣 WANG Tao;WANG Xin(Dept.of Pharmacy,Lu’an Hospital of Anhui Medical University,Anhui Lu’an 237000,China)

机构地区：[1]安徽医科大学附属六安医院药学部,安徽六安237000

出　　处：《中国医院用药评价与分析》2024年第4期491-493,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:通过对新生儿科肠外营养处方进行回顾性分析,评估处方的合理性,为新生儿科肠外营养规范使用提供参考。方法:通过医院信息系统,收集2022年该院新生儿科肠外营养处方701张,以国内外新生儿肠外营养指南为评价标准,对适应证、处方中的组分、阳离子浓度、糖脂比和热氮比等进行统计,分析处方的合理性。结果:701张新生儿科肠外营养处方中,适应证、葡萄糖浓度、阳离子浓度基本合理;氨基酸浓度不合理处方428张(占61.06%),糖脂比不合理处方692张(占98.72%),热氮比不合理处方655张(占93.44%)。结论:该院新生儿科肠外营养处方总体情况不合理,需制定相关对策,保证新生儿科肠外营养的有效性和安全性,提高合理用药水平。OBJECTIVE:To retrospectively analyze the parenteral nutrition prescriptions in neonatology department and to evaluated the rationality of prescriptions,so as to provide references for the standardize use of parenteral nutrition in neonatology department.METHODS:A total of 701 parenteral nutrition prescriptions in neonatology department of the hospital in 2022 were collected through the hospital information system,by using the domestic and international guidelines for parenteral nutrition of neonates as the evaluation standard,the indications,components in the prescriptions,cation concentration,carbohydrate-lipid ratio and heat-nitrogen ratio were calculated to analyze the rationality of the prescriptions.RESULTS:Of the 701 parenteral nutrition prescriptions in neonatology department,the indications,glucose concentration and cation concentration were basically rational.There were 428 prescriptions with irrational amino acid concentrations(61.06%),692 prescriptions with irrational carbohydrate-lipid ratios(98.72%)and 655 prescriptions with irrational heat-nitrogen ratios(93.44%).CONCLUSIONS:The overall situation of parenteral nutrition prescriptions in neonatology department of the hospital is irrational,relevant countermeasures need to be formulated to ensure the effectiveness and safety of parenteral nutrition in neonatology department and to improve the rational medication levels.

关 键 词：肠外营养 新生儿 处方分析 合理用药 

分 类 号：R969.3[医药卫生—药理学]