新生儿重症监护室临床药师肠外营养用药干预的评估

Pharmacist Interventions in Parenteral Nutrition in Neonatal Intensive Care Unit

目的介绍临床药师在新生儿重症监护室给予新生儿肠外营养用药干预的类型、数量和采纳度。方法收集评估2014年5月1日至2015年4月30日新生儿重症监护室(NICU)临床药师肠外营养用药干预数据。结果共有156例次肠外营养相关的用药干预,采纳率为90.1%。用药干预最多的类型为肠外营养方案调整。采纳度最高的类型是用法(100%)、单药剂量调整(95.2%)和增加药物(92.3%)。结论临床药师的用药干预为NICU患儿肠外营养的合理用药起到了应有的作用。

OBJECTIVE To summarize the number, types, and acceptance rate of pharmacist interventions in parenteral nutrition （PN） in neonatal intensive care unit （NICU）. METHODS The pharmacist intervention in parenteral nutrition in NICU from May 1,2014 to April 30, 2015 were summarized. RESULTS There were 156 interventions in parenteral nutrition and the overall ac- ceptance rate was 90. 1%. The most frequent intervention was adjusting regimen. The top three types of accepted intervention were usage （100%）, changing dose （95.2%）, and adding medication （92. 3% ）. CONCLUSION Interventions in parenteral nutrition demonstrate the unique perspectiveand importance of pharmacists in NICU.