CAJ | 학술논문

目的：对我院外科科室所开具全肠外营养处方进行审核，对不合理处方进行干预，从而保证肠外营养支持治疗的安全性和有效性，防范用药风险发生。方法药师在静脉药物配置中心对外科24个科室2014年1～6月所开具肠外营养液处方进行事前审核，从中记录不合理处方并归类分析。结果对审核的4012张不合理处方实例进行具体分析，我院肠外营养液常见不合理问题包括营养组分缺失或超量、电解质离子浓度超标、特殊营养制剂使用不合理、糖脂比不合理、营养组分重复用药等。结论药师对肠外营养液处方的审核和问题干预，对于保证患者营养支持治疗安全、有效、经济起到重要作用。
목적：대아원외과과실소개구전장외영양처방진행심핵，대불합리처방진행간예，종이보증장외영양지지치료적안전성화유효성，방범용약풍험발생。방법약사재정맥약물배치중심대외과24개과실2014년1～6월소개구장외영양액처방진행사전심핵，종중기록불합리처방병귀류분석。결과대심핵적4012장불합리처방실례진행구체분석，아원장외영양액상견불합리문제포괄영양조분결실혹초량、전해질리자농도초표、특수영양제제사용불합리、당지비불합리、영양조분중복용약등。결론약사대장외영양액처방적심핵화문제간예，대우보증환자영양지지치료안전、유효、경제기도중요작용。
Objective To avoid medication risk and ensure the safety and effectiveness of parenteral nutrition treatment, through checking the total parenteral nutrition prescriptions and intervening unreasonable prescriptions of surgical department. Methods At PIVAS (pharmacy intravenous admixture service), pharmacists audited parenteral nutrition prescriptions of 24 surgical departments from January to June 2014 and recorded the unreasonable prescriptions to classify and analyze. Results Based on the analysis of 4 012 unreasonable parenteral nutrition prescriptions in our hospital, the irrational factors involved in deficiency or excess of nutritional components, overproof electrolyte ion concentration, inappropriate use of special nutritional supplements, unreasonable glycolipid proportion, repeated use of nutritional components, and etc. Conclusion The audit and intervention on parenteral nutrition prescriptions by the pharmacists were critical to ensure the safe,effective and economical nutritional treatment.