目的 評價中國人民武裝警察部隊(duì)特色醫(yī)學(xué)中心呼吸科住院患者鼻飼給藥的情況，促進(jìn)鼻飼給藥的合理性。方法 采用回顧性分析方法，調(diào)查中國人民武裝警察部隊(duì)特色醫(yī)學(xué)中心呼吸科2019年9~12月鼻飼給藥的247例患者病歷，對藥物的使用情況和合理性等進(jìn)行統(tǒng)計分析。結(jié)果 采用鼻飼給藥途徑患者共計247例，涉及藥物品種46種，應(yīng)用頻次達(dá)2 672次。鼻飼用藥主要劑型包括混懸劑、注射劑、乳劑、普通片劑、緩釋片、控釋片、腸溶片、軟膠囊、硬膠囊等。鼻飼法給藥不合理應(yīng)用共計520例次，藥物配伍不當(dāng)194例，不合理應(yīng)用劑型326例，其中單次給藥藥品種最高達(dá)9種。結(jié)論 由于醫(yī)護(hù)人員對藥物專業(yè)知識的不足，臨床鼻飼用藥存在一些不合理情況，需要進(jìn)一步調(diào)整。藥師需要在臨床用藥前實(shí)施更多地干預(yù)，以確保用藥的安全性和有效性。

Objective To evaluate the rationality of medication through nasal feeding tube in Department of Respiration in Characteristic Medical Center of the Chinese People's Armed Police Force for rational medication. Methods Totally 247 patients administered drugs through nasal feeding tube in Department of Respiration in Characteristic Medical Center of the Chinese People's Armed Police Force from September to December in 2019 were reviewed. Medical records and drug administration were analyzed. Results Forty six drugs (used for 2 645 times) were administered through nasal feeding tube. The dosage forms included suspensions, injections, tablets, sustained release tablets, and sustained controlled tablets, enteric-coated tablets, soft capsules and hard capsules. Inappropriate nasal feeding times were found in 520 cases, drug incompatibility with 194 times, preparation irrational with 326 times. Conclusion There were some unreasonable medication through nasal feeding tube in Characteristic Medical Center of the Chinese People's Armed Police Force, which should be improved and avoided. Pharmacists should take more intervention in advance to promote the safety and efficiency of medication treatment.

R974

天津市自然科學(xué)基金資助項(xiàng)目（17JCYBJC26700）