目的:为肠内营养(EN)制剂和肠外营养(PN)制剂的合理使用提供参考。方法:对我院2011-2015所有住院患者EN、PN的药品种类、数量、使用科室、销售金额等进行回顾性统计分析。结果:我院2011-2015年PN制剂的销售金额、患者比例、用量和使用强度(AUD)都高于EN制剂。2011-2015年,我院药品总销售金额逐年上升,但营养制剂占药品销售金额的比例保持稳定,为6.2%-6.8%。2011-2014年EN制剂销售金额平稳增长,但2015年有所下降;2011-2013年PN制剂销售金额则有下降的趋势,但2014-2015年明显上升。2011-2014年使用EN和PN制剂的患者占总住院人数的比例都在增加,而2015年则明显下降。2011-2014年PN制剂用量有所下降,2015年上升明显;而EN制剂用量则逐年增加,2015年上升明显。2011-2014年我院EN制剂的AUD逐年增加,而PN制剂的AUD在2011-2013年逐渐下降,2014-2015年略有升高。普通外科EN、PN制剂的用量都远远超过其他科室;PN制剂用量前3位的科室为普通外科、心胸外科、泌尿外科,AUD最高的为普通外科;EN制剂用量前3位的科室为普通外科、消化内科、神经外科,AUD最高的为高压氧科。结论:我院临床已经逐渐接受EN的优势,但是仍存在一定的不合理现象;药师可发挥药学方面的特长,在营养治疗团队中做出贡献,实现专业化的规范治疗。
OBJECTIVE:To provide reference for the clinical use of enteral nutrition(EN)and parenteral nutrition(PN)preparation. METHODS:The utilization of EN and PN in our hospital during 2011-2015 was analyzed statistically in respects of drug types,number,department,consumption sum,etc. RESULTS:The consumption sum,patients' proportion,amount and AUD of PN preparation were all higher than those of EN preparation in our hospital during 2011-2015. During 2011-2015,the consumption sum of drugs increased year by year,but the proportion of nutrition preparation in consumption sum of drugs kept stable,ranging6.2%-6.8%. The consumption sum of EN preparation increased steadily during 2011-2014,but decreased slightly in 2015;that of PN preparation decreased during 2011-2013,but increased significantly in 2014-2015. The proportion of patients receiving EN and PN preparation in total number of inpatients increased during 2011-2014,decreased in 2015. The amount of PN preparation decreased during 2011-2014,while increased significantly in 2015;that of EN preparation increased year by year and significantly in2015. During 2011-2014,AUD of EN preparation in our hospital increased year by year,while that of PN preparation decreased gradually during 2011-2013 and increased slightly during 2014-2015. The amount of EN and PN preparation in general medicine department was much higher than in other department,and top 3 departments in the list of the amount of PN preparation were general surgery department,cardiothoracic surgery department and urinary surgery department;AUD of general surgery department was the highest. Top 3 departments in the list of the amount of EN preparation were general surgery department,gastroenterology department and neurosurgery department;AUD of hyperbaric oxygen was the highest. CONCLUSIONS:The advantages of EN has gradually accepted by clinic of our hospital,but there are still some unreasonable phenomenon. Pharmacists can play their pharmaceutical advantages and contribute to nutrition treatment