Objective: To retrospectively analyze the perioperative nutritional therapy prescription of hospitalized children in the pediatric surgery of the First Hospital of Jilin University

so as to provide reference for further promoting the rational drug use in clinic. Methods: Perioperative total parenteral nutrition (TPN) prescriptions of hospitalized children in the pediatric surgery of our hospital from 2015 to 2017 were collected and analyzed retrospectively. Results: There are some irrational cases of perioperative TPN prescriptions in the pediatric surgery of our hospital

such as insufficient and excessive ratio of calories and nitrogen and ratio of glucose and lipid

improper glucose rate and glucose concentration. The perioperative TPN prescriptions in pediatric surgery of our hospital was made up of glucose

lipid emulsion

amino acids

electrolytes

vitamins and multi-micronutrient drugs. Among them

91.05% of the prescriptions with ratio of glucose and lipid was from 1∶1 to 2∶1

92.53% of the prescriptions with ratio of calories and nitrogen was from 100∶1 to 200∶1 (kcal∶gN)

95.18% of the prescriptions with glucose rate was less than 1.2 g/(kg·h)

and the utilization rate of various electrolyte ions was more than 98.82%. Conclusion: The utilization of parenteral nutrient solution should be designed according to the actual conditions of the children. There are no adverse drug reactions after the utilization of irrational parenteral nutrition prescription

yet the nutritional support couldn’t obtain the desired effects. Clinical pharmacists should further strengthen the awareness of prescription review and actively communicate with the clinicians to standardize the rational utilization of parenteral nutrition solution.