Application Rationality of Nasogastric Dosing for Children in Intensive Care Unit of a Children’s Hospital

Zhou Chengyue; Cai Heping; Luo Zhihong; Fang Hui

doi:10.13407/j.cnki.jpp.1672-108X.2022.03.004

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Application Rationality of Nasogastric Dosing for Children in Intensive Care Unit of a Children’s Hospital

更新时间：2022-11-03

- Application Rationality of Nasogastric Dosing for Children in Intensive Care Unit of a Children’s Hospital
- Vol. 28, Issue 3, Pages: 13-17(2022)
- 作者机构：
  
  1. 安徽省儿童医院,合肥,232000
  2. 安徽省儿科医学研究所,合肥,232000
- 作者简介：
- 基金信息：
- DOI：10.13407/j.cnki.jpp.1672-108X.2022.03.004
  CLC：
- Published：2022，
  
  Published Online：10 March 2022，
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Zhou Chengyue, Cai Heping, Luo Zhihong, et al. Application Rationality of Nasogastric Dosing for Children in Intensive Care Unit of a Children’s Hospital. [J]. 28(3):13-17(2022)
DOI：

Zhou Chengyue, Cai Heping, Luo Zhihong, et al. Application Rationality of Nasogastric Dosing for Children in Intensive Care Unit of a Children’s Hospital. [J]. 28(3):13-17(2022) DOI： 10.13407/j.cnki.jpp.1672-108X.2022.03.004.

摘要

目的：探讨某儿童医院重症监护室住院患儿鼻饲给药情况并分析其用药合理性，为促进儿童鼻饲给药的合理性和规范化提供参考。方法：选取2019年1-6月某儿童医院信息化管理系统（HIS）中230例出院患儿一般资料，筛选鼻饲法给药患儿158例，采用描述性统计法对鼻饲给药例次、剂型及合理性进行统计分析。结果：2019年1-6月出院患儿共230例，其中经鼻饲给药158例，涉及57个药物品种，鼻饲给药频次6 069例次。使用最多的前3类药物分别为维生素类、营养类及调节水、电解质和酸碱平衡药物（50.87%）及神经系统药物（22.06%）、消化系统药物（15.03%），涉及药物剂型包括普通片、口服液、颗粒剂、胶囊等。同一时间点联合用药给药种类最高达每次10种，7种及以上药物的患儿共17例（10.75%）。结论：某儿童医院鼻饲给药存在不合理用药现象，需进一步丰富医护人员药学专业知识，临床药师应发挥学科优势，在临床用药前实施医嘱干预，保证鼻饲给药的合理性

Abstract

Objective: To probe into the nasogastric dosing for hospitalized children in intensive care unit of a children’s hospital and analyze the application rationality

so as to provide reference for promoting the rationality and standardization of children’s nasogastric dosing. Methods: General data of 230 discharged children in the hospital information system (HIS) from Jan. to Jun. 2019 were selected. A total of 158 cases with nasogastric dosing were screened

and the cases

dosage forms and rationality of nasogastric dosing were statistically analyzed by descriptive statistics. Results: From Jan. to Jun. 2019

a total of 230 children were discharged from the hospital

of which 158 children were administered via nasogastric dosing

including 57 kinds of drugs and 6

069 cases of nasogastric dosing. The top three most used drugs were vitamins

nutrition and drugs for regulating water

electrolyte and acid-base balance (50.87%)

drugs for nervous system (22.06%) and drugs for digestive system (15.03%)

and drug dosage forms included common tablets

oral liquid

granules and capsules. The varieties of drugs used at the same time were up to 10 kinds. There were 17 children (10.75%) with 7 or more drugs. Conclusion: The phenomenon of irrational drug administration in the hospital requires further enrichment of pharmacy expertise of medical and nursing staff

and clinical pharmacists should take advantages of the disciplines to implement medical intervention before clinical drug administration to ensure the rationality of nasogastric dosing

关键词

儿童鼻饲给药重症医学科临床药师合理用药

Keywords

childrennasogastric dosingntensive care unitclinical pharmacistsrational medication

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