我国2006-2015年肠外营养处方中维生素使用的文献分析
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篇名: 我国2006-2015年肠外营养处方中维生素使用的文献分析
TITLE:
摘要: 目的:了解我国肠外营养处方中维生素的使用情况,为我国肠外营养中维生素的合理使用提供参考。方法:以“肠外营养”或“静脉营养”和“处方分析”或“合理用药”或“医嘱分析”为关键词,检索中国知网和万方数据库中2006-2015年报道的有关肠外营养处方合理性分析文献,对纳入文献中维生素的使用情况进行分析和总结。结果:共纳入34篇文献,涉及的总处方数为158 874份,其中145 400份(91.52%)处方使用了维生素;有73 508份(46.27%)处方使用了12或13种维生素,53 388份(33.60%)处方被文献作者认为超量使用维生素,18 504份(11.65%)处方维生素添加不完全,1 663份(1.05%)处方未添加维生素。我国北部地区添加12或13种维生素的比例最高(52.00%)。“三甲”医院添加12或13种维生素、文献作者认为超量使用维生素和水溶性维生素、脂溶性维生素均未完全添加的比例均低于“三甲”以下医院。使用12或13种必需维生素比例由高到低的处方科室依次为肿瘤科(97.72%)、内科(86.62%)、重症监护病房(77.99%)和外科(52.83%)。结论:我国肠外营养处方中维生素规范使用的比例偏低,肠外营养中应添加符合推荐的多种维生素的观念仍需加强。
ABSTRACT: OBJECTIVE: To investigate the application of vitamins in parenteral nutrition (PN) prescription, and to provide reference for rational use of vitamins in PN. METHODS: Using “parenteral nutrition” “intravenous nutrition” “prescription analysis” “rational drug use” “analysis of medical order” as keywords, the literatures about the rationality analysis of PN prescriptions were retrieved from CNKI and Wanfang database during 2006-2015, and the utilization of vitamin included in literatures were analyzed and summarized. RESULTS: A total of 34 literatures were included. There were 158 874 prescriptions, among which vitamin was used in 145 400 prescriptions (91.52%). 12 or 13 kinds of vitamin were used in 73 508 prescriptions (46.27%); over-dose drug use was found in 53 388 prescriptions (33.60%), and vitamin was not completely added into 18 504 prescriptions (11.65%); no vitamin was added into 1 663 prescriptions (1.05%). The proportion of the prescriptions including 12 or 13 kinds of vitamin was the highest in northern China (52.00%). 12 or 13 kinds of vitamin were added into the prescriptions and the author believed that the proportion of excessive use of vitamin, incomplete addition of water-soluble vitamin and fat-soluble vitamin in class three grade A hospitals were all lower than hospitals below class three grade A. The prescriptions including 12 or 13 kinds of necessary vitamin were adopted in oncology department (97.72%), internal medicine department (86.62%), intensive care unit (77.99%) and surgery department (52.83%). CONCLUSIONS: The standardized use of vitamin PN prescriptions occupies low proportion in China. It is necessary to enhance the conception that multiple recommended vitamins should be added into PN.  
期刊: 2017年第28卷第17期
作者: 陈莲珍,王雨潇,杨谨成,李素敏,刘杰,杨梅,李国辉,于健春
AUTHORS: CHEN Lianzhen,WANG Yuxiao,YANG Jincheng,LI Sumin,LIU Jie,YANG Mei,LI Guohui,YU Jianchun
关键字: 营养支持治疗;肠外营养;维生素;合理用药;处方分析
KEYWORDS: Nutritional support therapy; Parenteral nutrition; Vitamin; Rational drug use; Analysis of prescriptions
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