中国药物警戒 ›› 2015, Vol. 12 ›› Issue (2): 102-105.

• 医院药事管理与合理用药 • 上一篇    下一篇

全肠外营养液处方不合理因素分析

王锐,周微,张四喜,宋燕青*   

  1. 吉林大学第一医院药剂科，吉林 长春 130021
  • 收稿日期:2014-11-05 出版日期:2015-02-08 发布日期:2015-07-28
  • 通讯作者: 宋燕青，女，主管药师，临床药学与医院药学。
  • 作者简介:王锐，男，临床药师，临床营养药学。

Analysis of the Irrational Factors of Parenteral Nutrition Prescriptions

WANG Rui，ZHOU Wei，ZHANG Si-xi，SONG Yan-qing*   

  1. Department of Pharmacy, Frist Hospital of Jilin University, Jilin Changchun 130021, China
  • Received:2014-11-05 Online:2015-02-08 Published:2015-07-28

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摘要： 目的 对我院外科科室所开具全肠外营养处方进行审核，对不合理处方进行干预，从而保证肠外营养支持治疗的安全性和有效性，防范用药风险发生。方法 药师在静脉药物配置中心对外科24个科室2014年1～6月所开具肠外营养液处方进行事前审核，从中记录不合理处方并归类分析。结果 对审核的4 012张不合理处方实例进行具体分析,我院肠外营养液常见不合理问题包括营养组分缺失或超量、电解质离子浓度超标、特殊营养制剂使用不合理、糖脂比不合理、营养组分重复用药等。结论 药师对肠外营养液处方的审核和问题干预，对于保证患者营养支持治疗安全、有效、经济起到重要作用。

关键词: 全肠外营养, 处方审核, 不合理因素

Abstract: Objective To avoid medication risk and ensure the safety and effectiveness of parenteral nutrition treatment, through checking the total parenteral nutrition prescriptions and intervening unreasonable prescriptions of surgical department. Methods At PIVAS (pharmacy intravenous admixture service), pharmacists audited parenteral nutrition prescriptions of 24 surgical departments from January to June 2014 and recorded the unreasonable prescriptions to classify and analyze. Results Based on the analysis of 4 012 unreasonable parenteral nutrition prescriptions in our hospital, the irrational factors involved in deficiency or excess of nutritional components, overproof electrolyte ion concentration, inappropriate use of special nutritional supplements, unreasonable glycolipid proportion, repeated use of nutritional components, and etc. Conclusion The audit and intervention on parenteral nutrition prescriptions by the pharmacists were critical to ensure the safe,effective and economical nutritional treatment.

Key words: total parenteral nutrition, prescription audit, irrational factors

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