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目的分析住院患者全肠外营养液(TPN)的合理应用。方法选取2016年1~12月该院应用TPN的住院患者438例,处方1 315份,分析各临床科室及各疾病的TPN应用情况及其合理性。结果患者主要分布在普外科、泌尿外科、妇产科、ICU、呼吸内科及结核科等。该院TPN存在热氮比不合理、糖脂比过高或过低、电解质浓度过高、使用天数不当等问题。结论该院TPN应用基本做到规范合理,但仍存在尚待改进的问题。
Objective To analyze the rational use of total parenteral nutrition (TPN) in hospitalized patients. Methods From January to December in 2016, 438 hospitalized patients with TPN and 1 315 prescriptions were enrolled in this study. The clinical application of TPN in various clinical departments and various diseases were analyzed and their rationality was analyzed. Results The patients were mainly in general surgery, urology, obstetrics and gynecology, ICU, respiratory medicine and tuberculosis. TPN hospital there is unreasonable ratio of nitrogen, glycolipid ratio is too high or too low, electrolyte concentration is too high, the use of days and other issues. Conclusion The application of TPN in this hospital is basically standardized and reasonable, but there are still some problems to be improved.