某三级甲等医院营养素类药物使用情况调查分析.

第四军医大学硕士学位论文
缩略语表
缩略词 英文全称
中文全称
AA
Amino Acid
氨基酸
ADR
Adverse Reaction
不良反应
BCAA Branch Chain Amino Acid
支链氨基酸
DDD
Define Daily Dose
限定日剂量
DDDs DDD Total Value
用药量
EFA
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营养素类药物使用情况调查 ······················································································· 23 1 材料 ······················································································································· 24 2 方法 ······················································································································· 24 3 结果 ······················································································································· 24 3.1 营养素类药物在医院使用药物中占的比例 ················································· 24 3.2 营养素类药物的构成比 ················································································ 25 3.3 营养素类药物购药金额及排序····································································· 26 3.4 营养素类药 DDDs 及其排序 ······································································· 28 3.5 营养素类药物的科室分布情况····································································· 29 3.6 营养素类药物的使用人群分布····································································· 31 3.7 使用营养素类药物对患者住院费用的影响 ················································· 32 3.8 营养素类药物的可能的不良反应································································· 32 4 讨论 ······················································································································· 33 4.1 营养素类药物在医院使用药物中占的比例 ················································· 34 4.2 营养素类药物的构成比 ················································································ 34 4.3 肠外营养素类药物使用情况········································································· 34 4.4 肠内营养素类药物使用情况········································································· 35 4.5 其他营养素类药物使用情况········································································· 36 4.6 营养素类药物的科室分布情况····································································· 36
Essential fatty acid
必需脂肪酸
EN
Enteral Nutrition
肠内营养
ESPEN
the European Society of Parenteral and Enteral Nutrition
欧洲肠内肠外营养学会
ICU
Intensive Care Unit
重症监护病房
LCT
二 O 一四年五月
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秉承学校严谨的学风与优良的科学道德，本人声明所呈交的论文是我个人在导 师指导下进行的研究工作及取得的研究成果。尽我所知，除了文中特别加以标注和 致谢的地方外，论文中不包含其他人已经发表或撰写过的研究成果，不包含本人或 他人已申请学位或其他用途使用过的成果。与我一同工作的同志对本研究所做的任 何贡献均已在论文中作了明确的说明并表示了致谢。
Long Chain Triglycerides
长链脂肪酸
MCT
Medium Chain Triglycerides
中链脂肪酸
PN
Parenteral Nutrition
肠外营养
SAP
Severe acute Pancreatitis
重症急性胰腺炎
UL
Tolerable upper intake levels
第四军医大学
分类号 UDC
The Fourth Military Medical University
密级
公开
`
硕士学位论文
某三级甲等医院营养素类药物使用情况调查分析
覃华
培养类别 学位类型 一级学科(专业类) 二级学科(专业) 研究方向 指导教师 培养单位
非全日制 专业学位 公共卫生与预防医学 营养与食品卫生学 营养与疾病 王 枫 教授 营养与食品卫生学教研室
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第四军医大学硕士学位论文
目录
缩略语表···························································································································· 1 中文摘要···························································································································· 2 英文摘要···························································································································· 5 前 言···························································································································· 8 文献回顾·························································································································· 10 正 文················································································································医大学硕士学位论文
某三级甲等医院营养素类药物使用情况调查
硕士研究生：覃 华
导
师：王 枫 教 授
辅 导 教 师：张 琰 副教授
叶 琳 副教授
第四军医大学营养与食品卫生学教研室，西安 710032
中文摘要
营养素类药物是指既是营养素又是在临床上使用于治疗和辅助治疗的药物。 营养素（nutrient）是指食物中能给人体提供能量、构成机体和组织修复以及具有 生理调节功能的化学成分。人体所必需的营养素共有 6 类，包括蛋白质、脂肪、 碳水化物、维生素、无机盐（矿物质）和水。在人们的日常生活中，每天都必须 有营养素的摄入，以维持正常的人体功能。在临床治疗中，营养素也可以作为药 物使用，这就是营养素类药物。根据使用目的和使用方式的不同，可以将营养素 类药物分为肠内营养制剂、肠外营养制剂（静脉营养制剂）和其他营养素类药物。 肠内营养制剂主要使用于通过胃肠道消化吸收食物的缓和；肠外营养制剂主要用 于不能通过肠道摄取、消化和吸收食物患者的营养支持；其它营养素类药物指肠 内营养制剂和肠外营养制剂之外的营养素类药物，其它营养素药物有维生素、矿 物质和氨基酸等。由于营养素类药物使用面广、毒副作用小加上人们更关注营养 保健等原因，近年来许多医院营养素类药物使用量迅速增加、价格上升、甚至出 现了滥用和出现了不良反应。
第四军医大学硕士学位论文文献回顾1023营养素类药物使用情况调查23材料24方法24结果2431营养素类药物在医院使用药物中占的比例2432营养素类药物的构成比2533营养素类药物购药金额及排序2634营养素类药ddds及其排序2835营养素类药物的科室分布情况2936营养素类药物的使用人群分布3137使用营养素类药物对患者住院费用的影响3238营养素类药物的可能的不良反应32讨论3341营养素类药物在医院使用药物中占的比例3442营养素类药物的构成比3443肠外营养素类药物使用情况3444肠内营养素类药物使用情况3545其他营养素类药物使用情况3646营养素类药物的科室分布情况36第四军医大学硕士学位论文47营养素类药物的使用人群分布3648使用营养素类药物对患者住院费用的影响3749不良反应37410建议3839参考文献41个人简历和研究成果4445第四军医大学硕士学位论文1缩略语表缩略词英文全称中文全称aaaminoacid氨基酸adradversereaction不良反应bcaabranchchainaminoacid支链氨基酸ddddefinedailydose限定日剂量dddsdddtotalvalue用药量efaessentialfattyacid必需脂肪酸enenteralnutrition肠内营养espeneuropeansocietyenteralnutrition欧洲肠内肠外营养学会icuintensivecareunit重症监护病房lctlongchaintriglycerides长链脂肪酸mctmediumchaintriglycerides中链脂肪酸pnparenteralnutrition肠外营养sapsevereacutepancreatitis重症急性胰腺炎ultolerableupperintakelevels可耐受最高摄入量第四军医大学硕士学位论文2某三级甲等医院营养素类药物使用情况调查硕士研究生
第四军医大学硕士学位论文
4.7 营养素类药物的使用人群分布····································································· 36 4.8 使用营养素类药物对患者住院费用的影响 ················································· 37 4.9 不良反应········································································································ 37 4.10 建议·············································································································· 38 小 结·························································································································· 39 参考文献·························································································································· 41 个人简历和研究成果 ······································································································ 44 致 谢·························································································································· 45