摘要
目的：为肠内营养（EN）制剂和肠外营养（PN）制剂的合理使用提供参考。方法：对我院2011-2015所有住院患者EN、PN的药品种类、数量、使用科室、销售金额等进行回顾性统计分析。结果：我院2011-2015年PN制剂的销售金额、患者比例、用量和使用强度（AUD）都高于EN制剂。2011-2015年,我院药品总销售金额逐年上升,但营养制剂占药品销售金额的比例保持稳定,为6.2%-6.8%。2011-2014年EN制剂销售金额平稳增长,但2015年有所下降;2011-2013年PN制剂销售金额则有下降的趋势,但2014-2015年明显上升。2011-2014年使用EN和PN制剂的患者占总住院人数的比例都在增加,而2015年则明显下降。2011-2014年PN制剂用量有所下降,2015年上升明显;而EN制剂用量则逐年增加,2015年上升明显。2011-2014年我院EN制剂的AUD逐年增加,而PN制剂的AUD在2011-2013年逐渐下降,2014-2015年略有升高。普通外科EN、PN制剂的用量都远远超过其他科室;PN制剂用量前3位的科室为普通外科、心胸外科、泌尿外科,AUD最高的为普通外科;EN制剂用量前3位的科室为普通外科、消化内科、神经外科,AUD最高的为高压氧科。结论：我院临床已经逐渐接受EN的优势,但是仍存在一定的不合理现象;药师可发挥药学方面的特长,在营养治疗团队中做出贡献,实现专业化的规范治疗。
OBJECTIVE：To provide reference for the clinical use of enteral nutrition（EN）and parenteral nutrition（PN）preparation. METHODS：The utilization of EN and PN in our hospital during 2011-2015 was analyzed statistically in respects of drug types,number,department,consumption sum,etc. RESULTS：The consumption sum,patients＇ proportion,amount and AUD of PN preparation were all higher than those of EN preparation in our hospital during 2011-2015. During 2011-2015,the consumption sum of drugs increased year by year,but the proportion of nutrition preparation in consumption sum of drugs kept stable,ranging6.2%-6.8%. The consumption sum of EN preparation increased steadily during 2011-2014,but decreased slightly in 2015;that of PN preparation decreased during 2011-2013,but increased significantly in 2014-2015. The proportion of patients receiving EN and PN preparation in total number of inpatients increased during 2011-2014,decreased in 2015. The amount of PN preparation decreased during 2011-2014,while increased significantly in 2015;that of EN preparation increased year by year and significantly in2015. During 2011-2014,AUD of EN preparation in our hospital increased year by year,while that of PN preparation decreased gradually during 2011-2013 and increased slightly during 2014-2015. The amount of EN and PN preparation in general medicine department was much higher than in other department,and top 3 departments in the list of the amount of PN preparation were general surgery department,cardiothoracic surgery department and urinary surgery department;AUD of general surgery department was the highest. Top 3 departments in the list of the amount of EN preparation were general surgery department,gastroenterology department and neurosurgery department;AUD of hyperbaric oxygen was the highest. CONCLUSIONS：The advantages of EN has gradually accepted by clinic of our hospital,but there are still some unreasonable phenomenon. Pharmacists can play their pharmaceutical advantages and contribute to nutrition treatment so as to realize professional standard treatment.
出处
《中国药房》
CAS
北大核心
2016年第14期1884-1887,共4页
China Pharmacy
基金
南京军区总医院青年基金资助项目(No.2012059)
关键词
肠外营养
肠内营养
销售金额
使用强度
用药分析
Parenteral nutrition
Enteral nutrition
Consumption sum
AUD
Utilization analysis
