摘要
目的:了解肿瘤专科医院肝肾功能异常病人全肠外营养(TPN)医嘱应用情况,为临床安全合理用药提供参考。方法:采用回顾性调研方法,抽取肿瘤医院静脉药物调配中心配制的200例肝肾功能异常病人TPN医嘱1 428组。结果:目前肿瘤医院TPN医嘱的糖脂比、热氮比、阳离子用量等合理率>97%。临床医师注重医嘱中特殊营养素的添加。肝功能异常的病人,TPN医嘱中应用中/长链脂肪乳的比例为26.95%,肝病用复方氨基酸的比例为2.01%,肾功能异常病人应用肾病用复方氨基酸的比例为0.02%。结论:对肝功能异常病人应用TPN时可适当选择复方氨基酸和中/长链脂肪乳,肾功能异常病人适当选用复方氨基酸,以减轻肝肾负担,有利于病人的预后。
Objective ： To analyze the medical orders for total parenteral nutrition in liver dysfunc- tion or kidney dysfunction cancer patients. Methods： The retrospective investigation was made, and the 1 428 groups of TPN orders were analysed. Results： The TPN orders had basically rational in the cancer hospital and the rational rate was more than 97 %. In the patients of liver dysfunction, the use of medium/long chain fat emulsion was up to 26.95%, and the compound amino acid of hepatopathy was 2.01%. In the patients of kidneys dysfunction, the compound amino acid of nephropathy was 0.02%. Conclusion： In the patients of liver dysfunction, the medium/long chain fat emulsion and compound amino acids of hepatopathy should be used, and in the patients of kidneys dysfunction, the compound amino acid of nephropathy should be used.
出处
《肠外与肠内营养》
CAS
北大核心
2014年第2期94-97,共4页
Parenteral & Enteral Nutrition
关键词
全肠外营养
肝肾功能异常
营养调查
癌症
Total parenteral nutrition
Liver dysfunction
Kidney dysfunction
Cancer
