中国药房2017，Vol.28Issue(20)：2754-2757,4.DOI:10.6039/j.issn.1001-0408.2017.20.05
我院5770份肠外营养医嘱药物稳定性和选药合理性分析
Analysis of Stability of Drug and Rationality of Drug Selection in 5770 Parenteral Nutrition Medical Or-ders of Our Hospital
摘要
Abstract
OBJECTIVE:To provide reference for rational use of parenteral nutrition. METHODS:Combining with the pa-tients'nutritional status,clinical diagnosis and lab examination,5770 parenteral nutrition medical orders were collected from our hospital during May 2015-Apr. 2016,and then analyzed in respects of the stability of drug use,rationality of drug selection and pharmacoeconomics. RESULTS:The qualified stability of nutrient solution in 5770 parenteral nutrition medical orders accounted for 89.46%. The rates of reasonable drug selection in patients with abnormal liver function,renal function,hyperemesis gravidarum,pan-creatitis,complete fasting,long term parenteral nutrition (>14 d) and triacylglycerol >4.5 mmol/L were 76.19%,63.16%, 75.00%,78.95%,65.95%,64.06%and 50.00%,respectively. Four kinds of drugs were with same effect and dose,price difference between 4-34 times,the rate of inappropriate drug selection ranged 7.58%-61.64%. CONCLUSIONS:Parenteral nutrition design need to not only consider about nutritional status,clinical diagnosis and lab examination,but also take into account high efficiency,safety, economy and the stability of whole nutrient solution.关键词
肠外营养/处方点评/临床诊断/药物经济学/稳定性Key words
Parenteral nutrition/Prescription comments/Clinical diagnosis/Pharmacoeconomics/Stability分类
医药卫生引用本文复制引用
李尧,李晓明,宋艳梅,史英钦..我院5770份肠外营养医嘱药物稳定性和选药合理性分析[J].中国药房,2017,28(20):2754-2757,4.基金项目
河北省医学科学研究重点课题计划项目(No.20160466) （No.20160466）
