目的 分析南京軍區(qū)福州總醫(yī)院腸內(nèi)外營(yíng)養(yǎng)藥物的使用情況，為規(guī)范臨床合理用藥提供參考。方法 提取2014—2016年南京軍區(qū)福州總醫(yī)院腸內(nèi)外營(yíng)養(yǎng)藥物的使用數(shù)量和2016年各科室腸內(nèi)外營(yíng)養(yǎng)藥的應(yīng)用金額，并從2016年應(yīng)用腸內(nèi)外營(yíng)養(yǎng)藥物的住院患者中隨機(jī)抽取300例進(jìn)行回顧性分析，分析其用藥合理性。結(jié)果 2014—2016年，全院腸內(nèi)外營(yíng)養(yǎng)藥物的數(shù)量和使用金額呈上升趨勢(shì)，腸內(nèi)外營(yíng)養(yǎng)藥物所占全院藥品的構(gòu)成比相對(duì)穩(wěn)定。整蛋白型腸內(nèi)營(yíng)養(yǎng)藥物的應(yīng)用數(shù)量遠(yuǎn)大于短肽型腸內(nèi)營(yíng)養(yǎng)藥物。腸外營(yíng)養(yǎng)藥物中，18種氨基酸注射液、中/長(zhǎng)鏈脂肪乳注射液（20%）的使用數(shù)量位于前列。2016年使用腸內(nèi)外營(yíng)養(yǎng)藥物較多的科室主要有神經(jīng)外科、普通外科、肝膽外科。不合理使用比例最高科室為婦產(chǎn)科，構(gòu)成比為51.86%。不合理用藥中無(wú)指征用藥居多，構(gòu)成比為27.33%。結(jié)論 2014—2016年南京軍區(qū)福州總醫(yī)院腸內(nèi)外營(yíng)養(yǎng)藥物使用基本合理，但仍存在一些問(wèn)題，需持續(xù)改進(jìn)。

Objective To investigate the clinical application status of enteral and parenteral nutrition drugs in Fuzhou General Hospital of Nanjing Military Command, and to provide reference for rational drug use in clinic. Methods The utilization number of enteral and parenteral nutrition drugs in Fuzhou General Hospital of Nanjing Military Command from 2014 to 2016 and the application amount of those drugs in various departments in 2016 were extracted, and 300 cases of inpatients in 2016 were randomly selected to analyze the rationality. Results The utilization number and application amount of enteral and parenteral nutrition drugs had the tendency of growth. The constituent ratio of enteral and parenteral nutrition drugs in total drugs was relatively stable. The utilization number of intacted protein-based enteral nutrition drugs was far more than that of short-peptide-based enteral nutrition drugs. The utilization number of 18 Amino Acid Injection and Medium and Long Chain Fat Emulsion Injection (20%) in parenteral nutrition drugs at the forefront. The department of using more enteral and parenteral nutrition drugs in 2016 was Department of Neurological Surgery, General Surgery, and Hepatobiliary Surgery. Department of Obstetrics and Gynecology had the most irrational drug use, and the constituent ratio was 51.86%. No indication of medicine in the most common irrational drug use, accounting for 27.33%. Conclusion The utilization of enteral and parenteral nutrition drugs in Fuzhou General Hospital of Nanjing Military Command from 2014 to 2016 is rational on the whole, but there are still some problems, which needs further efforts to strengthen the management and intervention.