我院2011-2013年脂肪乳和氨基酸应用分析

Analysis of the Utilization of Fat Emulsion and Amino Acid in Our Hospital during 2011-2013

目的:为临床合理使用脂肪乳和氨基酸提供参考。方法:从医院信息管理系统中提取我院2011-2013年住院患者静脉用脂肪乳和氨基酸的使用数量、销售金额,利用限定日剂量(DDD)进行用药频度(DDDs)、日均费用(DDC)、药物利用指数(DUI)的计算和分析。结果:脂肪乳和氨基酸的销售金额逐年上升,2012年增长率达2 317.5%,2013年回落至26.4%,增长趋于缓慢。脂肪乳和氨基酸的DDDs整体增长,部分品种2013年DDDs较2012年有所下降。DUI反映出的药物应用情况与DDC一致。结论:我院肠外营养药物脂肪乳和氨基酸临床接受度较高。如何掌握营养药物的适应证,合理开展临床营养治疗,尚需临床医师与药师的共同努力。

OBJECTIVE： To provide reference for the rational application of fat emulsion and amino acid in the clinic. METH- ODS ： The Consumption quantity and sum of fat emulsion and amino acid were collected from hospital information management sys- tem during 2011-2013, and DDDs, DDC and DUI were calculated by using DDD. RESULTS： The consumption sum of fat emul- sion and amino acid increased year by year. The growth rate of it achieved 2 317.5% in 2012 and fell to 26.4% in 2013. DDDs of fat emulsion and amino acid increased on the whole; that of some types decreased to some extent in 2013, compared with 2012. DUI of them indicated the utilization of them was up to DDC. CONCLUSIONS： The parenteral nutrition fat emulsion and amino ac- id are widely acceptable. To master the indications of nutrition drugs and the rational use of clinical nutritional therapy, it is requr- ied that the joint efforts of clinical doctors and pharmacists.