首页|临床药师干预在早产儿肠外营养管理中的应用效果

临床药师干预在早产儿肠外营养管理中的应用效果

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目的:探讨早产儿肠外营养管理(PN)中应用临床药师干预的效果.方法:选取新余市妇幼保健院收治的 84例早产儿作为研究对象,按入院时间分为对照组与干预组各 42 例,对照组未给予临床药师干预,干预组给予临床药师干预,比较两组临床指标、早产儿生长情况、不合理用药情况及能量配比情况.结果:两组呼吸机支持时间、抗生素使用时间比较,差异无统计学意义(P>0.05),干预组住院时间、肠外营养时间、停止肠外营养达到全经肠道喂养时日龄较对照组更短,差异有统计学意义(P<0.05);干预组早产儿体重、身长、头围增长较对照组更快,差异有统计学意义(P<0.05);干预组不合理用药率较对照组更低,差异有统计学意义(P<0.05);干预组糖脂比、热氮比不适宜情况发生率较对照组更低,差异有统计学意义(P<0.05).结论:早产儿PN管理给予临床药师干预能够改善临床指标,增强早产儿生长指标,减少不合理用药情况,降低能量配比不适宜情况.
Application effect of clinical pharmacist intervention in parenteral nutrition management of premature in-fants
Objective To investigate the effect of clinical pharmacists intervention in parenteral nutrition management(PN)of pre-mature infants.Method 84 premature infants admitted to Xinyu Maternal and Child Health Hospital were selected as research objects,and grouped according to the time of admission.A total of 42 premature infants were selected as control group,without intervention by clinical pharmacists.A total of 42 premature infants admitted to our hospital were selected as the intervention group,and clinical phar-macists were given intervention.Clinical indicators,growth of premature infants,irrational drug use and energy ratio of the two groups were compared.Results There was no significant difference in ventilator support time and antibiotic use time between the two groups(P>0.05).The intervention group had shorter hospital stay,parenteral nutrition time and total feeding time after stopping parenteral nutrition than the control group(P<0.05).The weight,body length and head circumference of preterm infants in the intervention group increased faster than those in the control group(P<0.05).The irrational drug use rate in the intervention group was lower than that in the control group(P<0.05).The incidence of inappropriate carbohydrate-lipid ratio and heat-nitrogen ratio in the intervention group was lower than that in the control group(P<0.05).Conclusion PN management of premature infants given by clinical pharma-cists can improve clinical indexes,enhance growth indexes of premature infants,reduce irrational drug use,and reduce inappropriate energy ratio.

Clinical pharmacist interventionPremature infantsParenteral nutrition managementRational drug use

桂海艳、廖清花、刘军平、黄菁娟

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新余市妇幼保健院,江西 新余 338000

临床药师干预 早产儿 肠外营养管理 合理用药

新余市社会发展指导性计划项目

20213090942

2024

吉林医学
吉林省人民医院

吉林医学

影响因子:0.926
ISSN:1004-0412
年,卷(期):2024.45(8)
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