我院新生儿外科全静脉营养液处方分析

An Analysis of the Total Parenteral Nutrition Prescriptions in Neonatal Surgery in Our Hospital

目的:对我院新生儿外科全静脉营养处方中药物使用情况进行分析,为临床合理应用提供参考。方法:收集2007年3月至2008年10月间新生儿外科的全静脉营养液处方及病例资料,并进行统计分析。结果:285例患儿均顺利完成治疗计划,至全静脉营养结束时,体重增加者67例(23.5%),最多增加190g,体重维持者163例(57.2%),体重下降者55例(19.3%)。少数处方在设计中存在一定问题,不利于营养液的药剂学稳定性和患儿对营养的利用。结论:合理设计配方,结合早期微量喂养,提高临床静脉营养治疗的安全性和有效性。

Objective： To analyze the usage of the medicine of total parenteral nutrition （TPN） in the neonatal surgery in our hospital in order to provide some references for rational use in clinic. Methods： Cases and their TPN prescriptions from March 2007 to October 2008 were collected and analyzed statistically. Results： The usage of TPN helped patients get through the critical course of disease, improved the success rate of operation, reduced complications. But there were some problems in a few prescriptions. It＇s not conducive to the stability of TPN and the utilization of nutrition for neonates. Conclusions： Rational combined design with early small volume feeding improves clinical safety and efficacy.