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我国2006-2015年肠外营养处方中维生素使用的文献分析

陈莲珍 王雨潇 杨谨成 李素敏 刘杰 杨梅 李国辉 于健春

中国药房2017,Vol.28Issue(17):2326-2330,5.
中国药房2017,Vol.28Issue(17):2326-2330,5.DOI:10.6039/j.issn.1001-0408.2017.17.06

我国2006-2015年肠外营养处方中维生素使用的文献分析

Literature Analysis of Vitamins Utilization in Parenteral Nutrition Prescription in China during 2006-2015

陈莲珍 1王雨潇 2杨谨成 1李素敏 2刘杰 2杨梅 1李国辉 1于健春3

作者信息

  • 1. 国家癌症中心/中国医学科学院北京协和医学院肿瘤医院药剂科,北京 100021
  • 2. 北京京卫信康药物研究所,北京 100089
  • 3. 北京协和医院基本外科,北京 100032
  • 折叠

摘要

Abstract

OBJECTIVE:To investigate the application of vitamins in parenteral nutrition (PN) prescription,and to provide reference for rational use of vitamins in PN. METHODS:Using"parenteral nutrition""intravenous nutrition""prescription analy-sis""rational drug use""analysis of medical order"as keywords,the literatures about the rationality analysis of PN prescriptions were retrieved from CNKI and Wanfang database during 2006-2015,and the utilization of vitamin included in literatures were ana-lyzed and summarized. RESULTS:A total of 34 literatures were included. There were 158874 prescriptions,among which vitamin was used in 145400 prescriptions (91.52%). 12 or 13 kinds of vitamin were used in 73508 prescriptions (46.27%);over-dose drug use was found in 53388 prescriptions(33.60%),and vitamin was not completely added into 18504 prescriptions(11.65%);no vitamin was added into 1663 prescriptions (1.05%). The proportion of the prescriptions including 12 or 13 kinds of vitamin was the highest in northern China (52.00%). 12 or 13 kinds of vitamin were added into the prescriptions and the author believed that the proportion of excessive use of vitamin,incomplete addition of water-soluble vitamin and fat-soluble vitamin in class three grade A hospitals were all lower than hospitals below class three grade A. The prescriptions including 12 or 13 kinds of necessary vi-tamin were adopted in oncology department(97.72%),internal medicine department(86.62%),intensive care unit(77.99%)and surgery department(52.83%). CONCLUSIONS:The standardized use of vitamin PN prescriptions occupies low proportion in Chi-na. It is necessary to enhance the conception that multiple recommended vitamins should be added into PN.

关键词

营养支持治疗/肠外营养/维生素/合理用药/处方分析

Key words

Nutritional support therapy/Parenteral nutrition/Vitamin/Rational drug use/Analysis of prescriptions

分类

医药卫生

引用本文复制引用

陈莲珍,王雨潇,杨谨成,李素敏,刘杰,杨梅,李国辉,于健春..我国2006-2015年肠外营养处方中维生素使用的文献分析[J].中国药房,2017,28(17):2326-2330,5.

基金项目

国家重点研发计划课题(No.2016YFA0201504) (No.2016YFA0201504)

卫生计生委行业基金资助项目(No.201502022) (No.201502022)

中国药房

OA北大核心CSTPCD

1001-0408

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