肿瘤患者使用复方氨基酸注射液的临床应用分析

目的：对郑州大学附属肿瘤医院的肿瘤患者使用复方氨基酸注射液的情况进行分析与点评，为临床合理用药提供参考。方法：抽取我院2016年6-12月应用复方氨基酸注射液的住院肿瘤患者病历1120例，根据《中国肿瘤营养治疗指南（2015版）》《临床诊疗指南肠外肠内营养学分册（2008版）》《恶性肿瘤患者的营养治疗专家共识（2011版）》和《临床技术操作规范肠外肠内营养学分册（2008版）》等相关标准进行专项点评。结果：1120例患者中，大多为外科围手术期患者，占62.4%，用药不合理病例比例为38.8%。其中，无适应证用药占21.4%，药品选择不适宜占19.6%，用法用量不适宜占63.6%，有配伍禁忌占2.5%。结论：按照以上标准，我院复方氨基酸注射液临床应用存在不合理现象，须进一步规范。

Analysis of Clinical Application of Compound Amino Acid Injection in Tumor Patients

Objective: To analyze and evaluate the clinical application of compound amino acid injection in tumor patients of Affliated Tumor Hospital of Zhengzhou University and provide references for rational drug use. Methods: 1120 medical records of hospitalized tumor patients administered compound amino acid injection from June to December 2016 in our hospital were selected and evaluated according to the requirements of Chinese Nutrition Therapy Guidelines for Cancer Patients (2015 edition), Treatment Guideline-Parenteral and Enteral Nutrition (2008 edition), Nutrition Therapy Expert Consensus for Cancer Patients (2011edition), as well as Clinical Technical Specification-Parenteral and Enteral Nutrition (2008 edition). Results: Most of the 1120 patients were perioperative patients of surgery department, accounting for 62.4%. The proportion of irrational medication cases was 38.8%, among which no indications of medication accounted for 21.4%; inappropriate selection of drugs accounted for 19.6%; incorrect dosage accounted for 63.6%; and incompatibility accounted for 2.5%. Conclusion: According to the results, the clinical application of compound amino acid injection in our hospital was irrational and needs to be further standardized.