CAJ | 학술논문

目的：评价该院中／长链脂肪乳注射液临床使用合理性，为其合理用药提供参考。方法抽取2013年8—12月份该院所有使用中／长链脂肪乳注射液的住院患者的病历，采集相关信息，根据相关标准进行专项点评。结果调查的331例患者中，外科所占比例最大，57．70％；其次为结核科17．82％、呼吸科10．57％、肿瘤科9．67％、急诊科3．63％、内科0．60％。不合理病例比例为34．44％。无适应证用药17．52％，遴选药品不适宜5．74％，用法用量不正确0．00，有配伍禁忌的为3．63％，未监测脂肪廓清能力13．60％。结论从调查结果中发现，中／长链脂肪乳注射液临床应用不合理现象较为普遍，医院需进一步强化药物规范使用。
목적：평개해원중／장련지방유주사액림상사용합이성，위기합리용약제공삼고。방법추취2013년8—12월빈해원소유사용중／장련지방유주사액적주원환자적병력，채집상관신식，근거상관표준진행전항점평。결과조사적331례환자중，외과소점비례최대，57．70％；기차위결핵과17．82％、호흡과10．57％、종류과9．67％、급진과3．63％、내과0．60％。불합리병례비례위34．44％。무괄응증용약17．52％，린선약품불괄의5．74％，용법용량불정학0．00，유배오금기적위3．63％，미감측지방곽청능력13．60％。결론종조사결과중발현，중／장련지방유주사액림상응용불합리현상교위보편，의원수진일보강화약물규범사용。
Objective To evaluate the rational clinical use of MCT/LCT emulsion injection to provide reference for its rational use. Methods Collected relevant information by extracting medical records of all the inpatient who injected with MCT/LCT emulsion from Aug,2013 to Dec,2013,and gave special comments in accordance with the relevant standards.Results Among the 311 cases,patients from the surgery department hold the largest proportion (57.70%),followed by the tuberculosis department,accounting for 17.82%. The rest are respiratory department which holds 10.57%,oncology department holding 9.67%,emergency department holding 3.63%, and internal medicine holding 0.60%.Unreasonable medical records take 34.44%;no indication of medication use takes 17.52%,in-appropriate selection of drugs takes 5.74%,incorrect dosage takes 0.00,incompatibility takes 3.63%,and unmonitored fat clearance capacity takes 13.60%.Conclusions Based on the survey results,unreasonable use of MCT/LCT emulsion injection in clinical appli-cation is more prevalent,and hospital needs to further strengthen the standardized drug use.