我院2011-2015年肠内肠外营养制剂使用分析

发布时间：2018-06-04 17:40

本文选题：肠外营养 + 肠内营养　；参考：《中国药房》2016年14期

【摘要】：目的:为肠内营养(EN)制剂和肠外营养(PN)制剂的合理使用提供参考。方法:对我院2011-2015所有住院患者EN、PN的药品种类、数量、使用科室、销售金额等进行回顾性统计分析。结果:我院2011-2015年PN制剂的销售金额、患者比例、用量和使用强度(AUD)都高于EN制剂。2011-2015年,我院药品总销售金额逐年上升,但营养制剂占药品销售金额的比例保持稳定,为6.2%~6.8%。2011-2014年EN制剂销售金额平稳增长,但2015年有所下降;2011-2013年PN制剂销售金额则有下降的趋势,但2014-2015年明显上升。2011-2014年使用EN和PN制剂的患者占总住院人数的比例都在增加,而2015年则明显下降。2011-2014年PN制剂用量有所下降,2015年上升明显;而EN制剂用量则逐年增加,2015年上升明显。2011-2014年我院EN制剂的AUD逐年增加,而PN制剂的AUD在2011-2013年逐渐下降,2014-2015年略有升高。普通外科EN、PN制剂的用量都远远超过其他科室;PN制剂用量前3位的科室为普通外科、心胸外科、泌尿外科,AUD最高的为普通外科;EN制剂用量前3位的科室为普通外科、消化内科、神经外科,AUD最高的为高压氧科。结论:我院临床已经逐渐接受EN的优势,但是仍存在一定的不合理现象;药师可发挥药学方面的特长,在营养治疗团队中做出贡献,实现专业化的规范治疗。
[Abstract]:Objective: to provide reference for the rational use of en and PNs. Methods: all the inpatients in our hospital from 2011 to 2015 were analyzed retrospectively. Results: the sales amount, proportion of patients, dosage and intensity of PN preparation in our hospital from 2011 to 2015 were higher than those of en preparation. The total amount of drug sales in our hospital increased year by year, but the proportion of nutritional preparations to the amount of drug sales remained stable. The sales amount of en preparations increased steadily in 2011-2014, but declined in 2015. The sales amount of PN preparations decreased in 2011-2013, but increased significantly in 2014-2015. The proportion of patients who used en and PN preparations increased in 2011-2014. In 2015, the dosage of PN decreased and increased significantly in 2015, while the dosage of en increased year by year, and the AUD of en increased year by year in 2015. The AUD of PN decreased gradually in 2011-2013 and slightly increased in 2014-2015. The dosage of PN preparation in general surgery was far higher than that in other departments. The departments with the top 3 doses of PN preparations in other departments were general surgery, cardiothoracic surgery, and the departments with the highest AUD dosage of en preparations in general surgery were general surgery, and the departments with the highest use of en preparations in urology were general surgery, and the Department of Gastroenterology. The highest level of AUD in neurosurgery was hyperbaric oxygen. Conclusion: our hospital has gradually accepted the advantages of en in clinic, but there is still some unreasonable phenomenon. Pharmacists can give full play to their specialty in pharmacology, contribute to nutrition treatment team, and realize specialized standard treatment.
【作者单位】：南京军区南京总医院药品科;
【基金】：南京军区总医院青年基金资助项目(No.2012059)
【分类号】：R977

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