2014—2016年南京军区福州总医院肠内外营养药物的使用情况分析

目的 分析南京军区福州总医院肠内外营养药物的使用情况,为规范临床合理用药提供参考.方法 提取2014—2016年南京军区福州总医院肠内外营养药物的使用数量和2016年各科室肠内外营养药的应用金额,并从2016年应用肠内外营养药物的住院患者中随机抽取300例进行回顾性分析,分析其用药合理性.结果 2014—2016年,全院肠内外营养药物的数量和使用金额呈上升趋势,肠内外营养药物所占全院药品的构成比相对稳定.整蛋白型肠内营养药物的应用数量远大于短肽型肠内营养药物.肠外营养药物中,18种氨基酸注射液、中/长链脂肪乳注射液(20%)的使用数量位于前列.2016年使用肠内外营养药物较多的科室主要有神经外科、普通外科、肝胆外科.不合理使用比例最高科室为妇产科,构成比为51.86%.不合理用药中无指征用药居多,构成比为27.33%.结论 2014—2016年南京军区福州总医院肠内外营养药物使用基本合理,但仍存在一些问题,需持续改进.

Analysis on use of enteral and parenteral nutrition drugs in Fuzhou General Hospital of Nanjing Military Command from 2014 to 2016

Objective To investigate the clinical application status of enteral and parenteral nutrition drugs in Fuzhou General Hospital of Nanjing Military Command, and to provide reference for rational drug use in clinic. Methods The utilization number of enteral and parenteral nutrition drugs in Fuzhou General Hospital of Nanjing Military Command from 2014 to 2016 and the application amount of those drugs in various departments in 2016 were extracted, and 300 cases of inpatients in 2016 were randomly selected to analyze the rationality. Results The utilization number and application amount of enteral and parenteral nutrition drugs had the tendency of growth. The constituent ratio of enteral and parenteral nutrition drugs in total drugs was relatively stable. The utilization number of intacted protein-based enteral nutrition drugs was far more than that of short-peptide-based enteral nutrition drugs. The utilization number of 18 Amino Acid Injection and Medium and Long Chain Fat Emulsion Injection (20%) in parenteral nutrition drugs at the forefront. The department of using more enteral and parenteral nutrition drugs in 2016 was Department of Neurological Surgery, General Surgery, and Hepatobiliary Surgery. Department of Obstetrics and Gynecology had the most irrational drug use, and the constituent ratio was 51.86%. No indication of medicine in the most common irrational drug use, accounting for 27.33%. Conclusion The utilization of enteral and parenteral nutrition drugs in Fuzhou General Hospital of Nanjing Military Command from 2014 to 2016 is rational on the whole, but there are still some problems, which needs further efforts to strengthen the management and intervention.