北京安贞联合医院2009-2012年临床营养药应用情况分析

Analysis of the utilization of clinical nutrition drugs in Beijing Anzhen Union Hospital from 2009 to 2012

目的评价首都医科大学附属北京安贞联合医院临床营养药的应用情况。方法从北京安贞联合医院药品消耗信息管理数据库中提取2009—2012年临床营养药的应用信息,采用限定日剂量法,计算其用药频度(DDDs)、日均费用(1DDC)等,并进行分析。结果临床营养药销售金额呈逐年上升趋势,由2009年的628.63万元增至2012年的791.30万元,增加了25.88%;肠外营养药的使用远高于肠内营养药,但肠内营养药在临床营养药中所占比例也不断增加,由2009年的16.05%增至2012年的24.24%。结论目前医院临床营养治疗仍以肠外营养药为主;随着临床对肠内营养药的重视程度不断提高、应用比例逐年上升,医院临床营养药的应用正日趋合理。

Objective To investigate the utilization of clinical nutrition drugs in Hospital. Methods The utilization of EN and PN in Beijing Anzhen Union Hospital during 2009-2012 was analyzed statistically through hospital information system in respects of variety,consumption sum amount, DDDs and DDC by the defined daily dose method. Results From 2009 to 2012, the total con- sumption of clinical nutrition drugs increased year on year with increase range of 25.88% ;the utilization ratio of enteral nutrition drugs to the whole nutrition drugs increased continuously from 16.05% to 24.24% during 2009 to 2012. Conclusion The based clinical nu- trition therapy in our hospital was still the parenteral nutrition drugs; but with the rising trend of using the enteral nutrition drugs. The hospital would become more and more rational in utilizing nutritional medicine.