摘要
目的:分析围手术期患者全胃肠外营养液(TPN)处方医嘱,为临床合理使用TPN提供参考。方法:对我院普通外科2010年1-9月使用TPN的围手术期患者病历医嘱进行统计、分析。结果:有525例围手术期患者使用TPN,共3345份,主要在糖脂能量比、非蛋白热氮比、处方组分不全及处方配伍等方面存在不足。结论:普通外科围手术期患者TPN处方还存在不足,需外科医师提高处方水平、药师强化审方意识,并应与临床医师加强沟通,进一步提高合理应用TPN的水平。
Objective:To investigate the prescriptions of total parenteral nutrition(TPN) during perioperative period so as to provide references for its clinical rational use.Method:Cases using TPN during perioperative period in surgical department of our hospital from January to September 2010 were statistically analyzed.Results:A total of 525 patients received a total of 3 345 TPN and the main problems were involved in ratio of energy glucose to lipid,ratio of nonprotein energy to nitrogen,incompletion in basic composition and prescription compatibility.Conclution:There were some flaws in prescriptions of TPN during perioperative period in surgical departmentand the surgeon should strengthen learning.Meanwhile the pharmacists should strengthen review of prescription and often communicate with clinical physicians.The level of rational use of TPN remains to be further improved.
出处
《上海医药》
CAS
2011年第9期434-437,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
全胃肠外营养液
围手术期
处方分析
合理用药
total parenteral nutrition
perioperative period
prescription analysis
rational use of drugs
