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
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)