摘要
目的：评价南京市区肠外营养（PN）药物利用的情况，为临床营养治疗合理使用和管理提供参考。方法：对南京市区2009～2011年PN药物的零售金额、用药频度（DDD）等指标进行统计分析和评价。结果：南京市区PN药物用量和用药总金额呈上升趋势。近3年用药总金额年均增长率达到21．64％。3年来，用药总金额排位前三名依次为脂肪乳Intralipid、N（2）-L-丙氨酰-L-谷氨酰胺注射液和复方氨基酸注射液。DDD3年排位不变，前三名是复方氨基酸注射液、脂溶性维生素（Ⅱ）和注射用水溶性维生素。作为补充维生素的制剂，脂溶性维生素（Ⅱ）、注射用水溶性维生素存在滥用倾向。结论：南京市区2009—2011年PN药物使用增长幅度较大，在营养药物使用中比例较大，反映临床部分药物存在滥用现象，免疫营养和疾病治疗型营养药物受到临床重视。
Objective ： This paper is to assess the utilization of parenteral nutrition （PN） drugs in Nanjing area, and provide references to the proper drugs usage and management of clinical nutrition ther- apy. Methods ： Data of drug sales and DDD in hospitals of Nanjing during the period of 2009 ~ 2011 were analyzed statistically and evaluated. Results： Consumption and dosage of PN drugs increased 36.53% annually in Nanjing area during the past three years, and the top four of consumption were In- tralipid, N （2）-L-Alanyl-L-glutamine Injection, Compound Amino Acid Injection and Fat-soluble Vitamin Injection （ II ）. The rank of DDD unchanged in past three years and the top three were Compound Amino Acid Injection, Fat-soluble Vitamin Injection （ lI ） and Water-soluble Vitamin for Injection. As vitamin preparations, fat soluble vitamins （ I ） and Water-soluble Vitamin for injection had the tendency of drug abuse. Conclusion： The amount of PN drugs increased dramatically in Nanjing area during 2009 ~ 2011, and took a large proportion among the nutrition drugs. It suggested that some clinical drugs fell in trend of abuse. Immune nutrition and disease treatment nutrition drugs were drew attention by clinical therapy.
出处
《肠外与肠内营养》
CAS
北大核心
2014年第1期39-42,共4页
Parenteral & Enteral Nutrition
关键词
肠外营养药物
金额排序
药物利用
用药频度
Parenteral nutrition drugs
Consumption sort
Drug utilization
DDD
