Application Rationality of 1944 Parenteral Nutrition Prescriptions

LI Yingmei; LI Jinchao; LAI Baolong; WANG Liqing

doi:10.14009/j.issn.1672-2124.2020.06.019

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Application Rationality of 1944 Parenteral Nutrition Prescriptions

更新时间：2022-10-08

- Application Rationality of 1944 Parenteral Nutrition Prescriptions
- Vol. 20, Issue 6, Pages: 712-715(2020)
- 作者机构：
  
  1. 中山大学附属第七医院药学部
  2. 广东医科大学药学院
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2020.06.019
  CLC： R95
- Published：2020，
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[1]李樱媚,李进超,赖宝龙,王黎青.1944张肠外营养处方用药合理性分析[J].中国医院用药评价与分析,2020,20(06):712-715.

LI Yingmei, LI Jinchao, LAI Baolong, et al. Application Rationality of 1944 Parenteral Nutrition Prescriptions. [J]. 20(6):712-715(2020)
[1]李樱媚,李进超,赖宝龙,王黎青.1944张肠外营养处方用药合理性分析[J].中国医院用药评价与分析,2020,20(06):712-715. DOI： 10.14009/j.issn.1672-2124.2020.06.019.

LI Yingmei, LI Jinchao, LAI Baolong, et al. Application Rationality of 1944 Parenteral Nutrition Prescriptions. [J]. 20(6):712-715(2020) DOI： 10.14009/j.issn.1672-2124.2020.06.019.

摘要

目的:探讨中山大学附属第七医院（以下简称"我院"）肠外营养处方用药合理性

为下一步优化静脉用药调配中心（pharmacy intravenous admixture service

PIVAS）审方规则和实施药学干预提供参考。方法:通过医院HIS系统

调取2018年5月至2019年9月我院肠外营养处方

共1 944张

对处方的稳定性和有效性进行评价

包括葡萄糖浓度、氨基酸浓度、阳离子浓度、添加其他治疗药物、糖脂比、热氮比以及药理营养素使用等。结果:1 944张处方中

合理处方1 063张

处方合理率为54. 68%。不合理处方881张

其中糖脂比不合理处方457张（占51. 87%）

热氮比不合理处方449张（占50. 96%）

氨基酸浓度不合理处方313张（占35. 53%）

药理营养素使用不合理处方153张（占17. 37%）

其他药物添加不合理处方28张（占3. 18%）

葡萄糖浓度不合理处方19张（占2. 16%）

阳离子浓度超标处方18张（占2. 04%）。结论:我院开业运营初期肠外营养处方存在不合理现象

临床营养药师和PIVAS药师应当充分发挥专业技能

对肠外营养处方进行实时审核与干预

以规范肠外营养的临床应用

保障患者用药安全、有效。

Abstract

OBJECTIVE: To probe into the application rationality of parenteral nutrition prescriptions in the Seventh Affiliated Hospital of Sun Yat-sen University（ hereinafter referred to as "our hospital"）

so as to provide reference for further optimizing the review rules of pharmacy intravenous admixture service（ PIVAS） and implementing pharmaceutical interventions. METHODS: Through HIS system

a total of 1 944 parenteral nutrition prescriptions from May 2018 to Sept.2019 were extracted. The stability and effectiveness of prescriptions were evaluated

including glucose concentration

amino acid concentration

cation concentration

addition of other therapeutic drugs

ratio of glucose to lipid

ratio of heat to nitrogen

and application of pharmacological nutrients. RESULTS: Of the 1 944 prescriptions

1 063 prescriptions were rational

with the rational rate of 54. 68%. There were 881 irrational prescriptions

including 457 prescriptions（ 51. 87%） with irrational ratio of glucose to lipid

449 prescriptions（ 50. 96%） with irrational ratio of heat to nitrogen

313 prescriptions（ 35. 53%） with irrational amino acid concentration

153 prescriptions（ 17. 37%） with irrational pharmacological nutrients

28 prescriptions（ 3. 18%） with irrational addition of other therapeutic drugs

19 prescriptions（ 2. 16%） with irrational glucose concentration

and 18 prescriptions（ 2. 04%） with irrational cation concentration.CONCLUSIONS: There are some irrational phenomenon of parenteral nutrition prescriptions in the early stage of our hospital. Clinical nutritional pharmacists and PIVAS pharmacists should give full play to their professional skills and conduct real-time review and intervention on parenteral nutrition prescriptions to standardize the clinical application of parenteral nutrition and ensure the safety and effectiveness of patients’ medication.

关键词

肠外营养处方分析规范使用

Keywords

Parenteral nutritionPrescription analysisStandardized application

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