我院2011-2015年住院患者肠内营养药物使用分析
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篇名: 我院2011-2015年住院患者肠内营养药物使用分析
TITLE:
摘要: 目的:为肠内营养(EN)药物合理使用提供参考。方法:利用我院信息系统提取2011-2015年住院患者使用EN药物的数据,以销售金额、用药频度(DDDs)、日均费用(DDC)等为统计指标进行分析。结果:2011-2015年,我院住院患者EN药物销售金额和DDDs变化幅度小,各年度EN药物销售金额构成比保持在40%左右。EN混悬液(TPF)销售金额2011-2013年和2015年排名第1,2014年下降为第2;EN乳剂(TPF-T)销售金额增长较大,排序由第4位上升至第1、2位。EN混悬液(TPF)各年度DDDs稳居首位;EN混悬液(SP)DDDs大幅降低,排序由第2位下降至2013-2014的第5位;EN乳剂(TPF-T)DDDs大幅增长,排序由第5位上升至第2位。我院2011-2015年EN药物累计DDDs位居前5位的科室依次为神经内科(含干部神经内科)、呼吸内科(含干部呼吸内科)、重症医疗科、干部消化肾病科和干部心内科,构成比分别为27.5%、18.1%、15.3%、11.8%和8.5%,内科和重症医疗科EN药物总DDDs远高于外科;部分科室EN药物品种选择欠佳。结论:我院2011-2015年EN药物用量比较稳定,但尚未成为临床营养的主要方式,尤其外科EN药物DDDs偏低;各EN药物使用趋势反映出多数药物的临床应用日益合理,但部分科室在EN药物品种选择方面欠佳,因此临床医师需进一步加强对EN药物的认识和临床应用。
ABSTRACT: OBJECTIVE: To provide reference for rational use of enteral nutrition (EN) drugs. METHODS: The data of EN drugs used for inpatients during 2011-2015 was extracted from our hospital information system, and analyzed statistically in respects of consumption sum, DDDs and DDC, etc. RESULTS: From 2011 to 2015, the consumption sum and and DDDs of EN drugs for inpatients did not change significantly, and the consumption sum ratio of EN drugs kept about 40% each year. The consumption sum of EN suspension (TPF) occupied the first place during 2011-2013 and 2015, and decreased to second place in 2014; that of EN emulsion (TPF-T) increased, pulling up from forth place to first or second place. DDDs of EN suspension (TPF) always dominated the first place; that of EN suspension (SP) decreased significantly, dropping from second place to fifth place during 2013-2014; that of EN emulsion (TPF-T) increased significantly, pulling up from fifth place to second place. Top 5 departments in the list of accumulative DDDs of EN in our hospital during 2011-2015 were  neurology department (containing cadre neurology department), respiratory medicine department (containing cadre respiratory medicine department), ICU, cadre digestive nephropathy department and cadre cardiology department, and constituent ratio of them were 27.5%, 18.1%, 15.3%, 11.8% and 8.5%; total DDDs of EN in internal medicine department and ICU were much higher than that of surgical department. For some departments, the selection of EN drugs variety was not proper. CONCLUSIONS: The consumption of EN drugs is stable in our hospital, but it is not yet main clinical nutrition method, especially DDDs of EN drugs is in low level in surgical department.  The tendency of EN drugs use reflect that clinical use of multiple drugs become reasonable, but the selection of EN drugs variety is not proper in some department. Clinical pharmacists should further strengthen their awareness and clinical use of EN.
期刊: 2016年第27卷第14期
作者: 王晓芳,刘炜,孙路路
AUTHORS: WANG Xiaofang,LIU Wei,SUN Lulu
关键字: 肠内营养;销售金额;用药频度;日均费用;用药分析
KEYWORDS: Enteral nutrition; Consumption sum; DDDs; DDC; Analysis of drug use
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