目的 了解天津市肿瘤医院营养药物的使用情况,为医护人员提供参考.方法 提取2011—2013年天津市肿瘤医院营养药物的应用信息,计算得出购药金额、限定日费用(DDDc)、用药频度(DDDs)及药品排序比(B/A)等,并进行统计分析.结果 天津市肿瘤医院营养药物的购药金额2012年比2011年有了大幅的增加,增长率为53.32%,而2013年的购药金额比2012年减少了6.62%.2011—2013年肠外营养药物的构成比分别为91.64%、92.26%、91.02%,肠内营养药物的构成比分别为8.36%、7.74%、8.98%,肠外营养药物所占比例远远大于肠内营养药物.所有营养药物的DDDs均呈逐年上升趋势,但肠内营养药物的增长幅度要远远大于肠外营养药物;所有营养药物的DDDc在2011和2012年基本保持不变,但在2013年都有所增加.有5种营养药物的B/A接近1.00,说明本院购药与用药人数的同步性比较好.结论 随着营养药物合理化应用的推广,天津市肿瘤医院营养药物的应用日趋合理,但因为肿瘤专科医院的特殊性,肠外营养应用还远远大于肠内营养,因此应进一步规范营养药物使用,提高肠内营养药物所占的比例.

Objective To investigate the utilization of nutrition drugs in Tianjin Medical University Cancer Institute and Hospital from 2011 to 2013, in order to provide a reference for medical staff. Methods The utilization information of nutrition drugs was extracted, and consumption sum, defined daily cost (DDDc), frequency of drug use (DDDs), and drug sequence ratio (B/A) were calculated and analyzed. Results The consumption sum of nutrition drugs in Tianjin Medical University Cancer Institute and Hospital in 2012 had increased a lot compared with that in 2011. The growth rate was 53.32%. While the consumption sum in 2013 has decreased 6.62% compared with that in 2012. The constituent ratios of parenteral nutrition drugs during 2011—2013 were 91.64%, 92.26%, and 91.02%, respectively. The constituent ratios of enteral nutrition drugs were 8.36%, 7.74%, and 8.98%, respectively. The constituent ratios of parenteral nutrition drugs were more than those of enteral nutrition drugs. DDDs of all nutrition drugs increased year by year. But the increase of enteral nutrition drugs was far more than that of parenteral nutrition drugs. DDDc of all nutrition drugs in 2011 and 2012 kept the same basically, and all increased in 2013. B/A of five nutrition drugs closed to 1.00, indicating that the synchronism between the consumption of the nutrition drugs and the numbers of people who used the drugs was mainly better. Conclusion With the promotion of reasonable application of nutrition drugs, the utilization of nutrition drugs in Tianjin Medical University Cancer Institute and Hospital is more reasonable day by day, as the particularity of the special use in the hospital of tumor, the using of parenteral nutrition drugs is much larger than that of enteral nutrition drugs. Therefore the using of nutrition drugs should be further standardized to improve the ratio of enteral nutrition drugs.