CAJ | 학술논문

目的：分析肿瘤患者全肠外营养( TPN)处方医嘱，为临床合理使用TPN提供参考。方法自行设计TPN处方点评表，采用回顾性调查方法，从本院2013年1-12月所有使用TPN处方的肿瘤患者的病历中随机抽出200份，填写TPN处方点评表，利用Excel表格数据自动筛选、分类汇总等方法，对各项研究指标进行统计分析，评价TPN处方的合理性。结果我院TPN处方基本合理，主要在脂肪供能比例、非蛋白热氮比、处方组分不全等方面存在不足。结论临床医生应针对患者的营养状况准确评定，合理设计TPN配方，药师应强化审方意识，并加强与临床医生的沟通，进一步提高合理应用TPN的水平。
목적：분석종류환자전장외영양( TPN)처방의촉，위림상합리사용TPN제공삼고。방법자행설계TPN처방점평표，채용회고성조사방법，종본원2013년1-12월소유사용TPN처방적종류환자적병력중수궤추출200빈，전사TPN처방점평표，이용Excel표격수거자동사선、분류회총등방법，대각항연구지표진행통계분석，평개TPN처방적합이성。결과아원TPN처방기본합리，주요재지방공능비례、비단백열담비、처방조분불전등방면존재불족。결론림상의생응침대환자적영양상황준학평정，합리설계TPN배방，약사응강화심방의식，병가강여림상의생적구통，진일보제고합리응용TPN적수평。
Objective To analyze the prescription of total parenteral nutrition ( TPN) of patients with tumors and provide references for rational drugs use. Methods The assessment form of the TPN prescription was designed, retrospective investigation was conducted to randomly select 200 medical records from patients with tumors who used TPN prescriptions from January to December 2013 in our hospital. The assessment forms of the TPN prescriptions were filled,and the indexes were analyzed and evaluated through automatic screening,classification and summary of the Ex-cel form. Results The prescriptions of TPN were basically reasonable in our hospital,but there were still some prob-lems existing in the proportion of fat for energy,the ratio of the non protein calorie and nitrogen and prescription com-ponent insufficiency. Conclusion Clinicians should aim at the accurate evaluation of patients′nutritional status and de-sign reasonable formulation of TPN. Pharmacists should strengthen the consciousness of checking prescription and com-munication with clinicians to further improve the level of rational use of TPN.