某医院肿瘤患者全肠外营养液给药方案合理性分析
Rationality of Total Parenteral Nutrition Regimens for Cancer Patients in a Hospital
俞婷婷 1邹杰 1方慧 1许西西 1干斌梅 2郑英1
作者信息
- 1. 310013 浙江杭州,联勤保障部队第903医院
- 2. 310015 浙江杭州,杭州市儿童医院
- 折叠
摘要
目的 评估某医院肿瘤患者肠外营养液给药方案的合理性,为临床合理应用肠外营养液提供依据.方法 采用回顾性分析方法,对该医院2020年1月1日-2021年12月31日住院肿瘤患者的肠外营养液给药方案进行综合性评估,包括适应证、品种、能量配比、成分配比以及稳定性等.结果 共收集1016份肠外营养液医嘱,给药方案设计整体合理,但仍存在热量不足或过量、热氮比和糖脂比比例不合理、电解质浓度过高、品种选择不当等问题.结论 为提高全肠营养液的合理性,该院应制定个性化的营养液方案;此外,需要强化药师审核肠外营养液处方的能力,加强审方意识,促进与临床医师的紧密沟通,以提高全肠外营养液的合理应用水平.
Abstract
Objective To assess the rationality of enteral nutrition solutions used in oncology patients at a hospital in order to improve the quality of their clinical application and provide data for rational use of enteral nutrition.Methods A retrospective analysis was conducted to evaluate the enteral nutrition solutions administered to inpatients of oncology between 2020 and 2021,involving indications,varieties,energy composition,ingredient ratios,and stability.Results A total of 1016 prescriptions for enteral nutrition were collected.Despite the proper overall design of administration plans,such problems as insufficient or excessive calorie provision,inappropriate nitrogen-to-calorie ratios,imbalanced sugar and lipid ratios,exces-sive electrolyte concentrations,and improper selection of varieties were identified.Conclusion To enhance the rationality of enteral nutrition solutions,a hospital should develop personalized nutrition plans.Addi-tionally,pharmacists need to improve their ability to review enteral nutrition prescriptions,attach impor-tance to assessment of prescriptions,and facilitate communication with clinical physicians to improve the level of rational applications of enteral nutrition solutions.
关键词
全肠外营养液/肿瘤患者/合理用药Key words
total parenteral nutrition/cancer patients/rational drug use引用本文复制引用
出版年
2024
NETL
NSTL
万方数据