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药学干预在小儿复方氨基酸注射液规范化应用中的作用
金海荣,曹译丹,宋燕青,刘海燕
0
(吉林大学第一医院,吉林长春 130021)
摘要:
目的:探讨小儿复方氨基酸注射液(19AA-I)的合理使用方法,提高含19AA-I制剂肠外营养处方合格率。方法:分析2018年2月至2019年2月我院患儿肠外营养处方中19AA-I和复方氨基酸注射液(18AA-II)使用情况,明确19AA-I的使用规范,对其适应证、用法用量进行药学干预,为临床安全、有效、经济地应用氨基酸注射液提供参考。结果:根据我院制定的19AA-I使用规范,实施药学干预后,含19AA-I的肠外营养处方不合格率由49.3%下降为5.3%,氨基酸用量不适宜处方由30.7%下降至4.0%。结论:通过制定19AA-I使用规范,临床药师对不合格处方进行干预,取得了较好成效,19AA-I在临床使用中更规范、合理,药学干预在保障患者用药安全、避免资源浪费等方面发挥了关键作用。
关键词:  小儿复方氨基酸注射液  合理用药  药学干预
DOI:doi:10.13407/ j.cnki.jpp.1672.108X.2021.09.010
基金项目:
Role of Pharmaceutical Intervention in Standardized Application of Pediatric Compound Amino Acid Injection
Jin Hairong, Cao Yidan, Song Yangqing, Liu Haiyan
(The First Hospital of Jilin University, Jilin Changchun 130021, China)
Abstract:
Objective: To probe into the rational application of pediatric compound amino acid injection (19AA-I), and improve the qualified rate of parenteral nutrition prescription with 19AA-I preparation. Methods: The application of 19AA-I and compound amino acid injection (18AA-II) in parenteral nutrition prescription in our hospital from Feb. 2018 to Feb. 2019 was analyzed. The application specifications of 19AA-I were clarified, and pharmaceutical intervention was performed on the indication, usage and dosage. The reference for clinically safe, effective and economical application of amino acid injection was provided. Results: According to the application specifications of 19AA-I formulated by our hospital, the pharmaceutical intervention was implemented, the unqualified rate of parenteral nutrition prescription with 19AA-I decreased from 49.3% to 5.3%, and the prescription with irrational amino acid dosage decreased from 30.7% to 4.0%. Conclusion: Through the formulation of application specifications of 19AA-I, pharmaceutical intervention has significantly improved the rational application rate of 19AA-I by clinical pharmacists. Pharmaceutical intervention plays a key role in ensuring medication safety and avoiding waste of resources.
Key words:  pediatric compound amino acid injection  rational drug application  pharmaceutical intervention

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