摘要
目的调查结直肠癌术后肠外营养的应用情况,促进合理用药。方法回顾性随机调查2012年我院结直肠癌手术患者的348张全肠外营养液(TPN)处方进行合理性分析,依据《临床诊疗指南·肠外肠内营养学分册》(2008版)评价其合理性。结果处方中存在热量供应不合理(83.33%)、热氮比不合理(35.06%)、糖类供能的比例不合理(61.78%)、组分不合理(73.28%)等问题。结论临床应根据患者情况,制定个体化肠外营养给药方案;药师有必要对TPN的不合理使用进行干预,确保TPN处方用药合理、安全和有效。
Objective To promote standard application of total parenteral nutrient（ TPN） after colorectal cancer surgery.Methods By retrospective analysis,the rationality of 348 TPN prescriptions in a hospital during 2012 was analyzed according to the requirements of Clinical Diagnosis and Treatment Guideline： Parenteral and Enteral Nutrition Fascicule（2008 edition）. Results There was some irrationality in 348 surveyed prescriptions. Main problems included improper energy provision（ 83. 33%）,irrational ratio of non- protein energy to nitrogen（ 35. 06%）,irrational ratio of glucose to lipid（ 61. 78%） and improper components given（ 73. 28%）. Conclusion There were some unreasonable situations in TPN prescription of the hospital. The safety,effectiveness and economical efficacy of parenteral nutrient can be improved through checking the prescription and intervening in irrational prescriptions.
出处
《今日药学》
CAS
2014年第10期732-734,共3页
Pharmacy Today
基金
广东省中医药局建设中医药强省立项资助科研基金(编号:20131145)
关键词
肠外营养液
处方分析
结直肠癌术
total parenteral nutrient mixture
prescription analysis
colorectal cancer surgery
