Genton Laurence, Mühlebach Stephan, Dupertuis Yves M, Pichard Claude
Clinical Nutrition, University Hospital, Geneva, Switzerland.
Curr Opin Clin Nutr Metab Care. 2006 Mar;9(2):149-54. doi: 10.1097/01.mco.0000214574.82686.ac.
Ergonomics in total parenteral nutrition include the work performed in the (hospital) pharmacy and on the medical ward. This article reviews the developments in total parenteral nutrition ergonomics and the related cost-savings.
Research focuses on the ergonomic advantages of multi-compartment total parenteral nutrition bags compared with the multi-bottle system, of multi versus single-layered total parenteral nutrition bags and of the presence of a nutritional team and training in clinical nutrition to improve regimen prescription and delivery.
Three-compartment bags are safe, economic and ergonomic. It is important, however, to keep the knowledge of pharmacies to compound total parenteral nutrition for children and (adult) patients with specific pathologies. Research is ongoing in the development of bags with more than three compartments, to include for instance vitamins. This necessitates improvements in bag materials and wrapping. Progress can be made regarding total parenteral nutrition prescription and delivery, as well as in the incidence of related infections by promoting training in clinical nutrition and the implementation of a multidisciplinary nutritional support team.
全胃肠外营养中的人体工程学包括在（医院）药房和医疗病房开展的工作。本文综述了全胃肠外营养人体工程学的发展以及相关的成本节约情况。
研究重点在于多腔室全胃肠外营养袋与多瓶系统相比的人体工程学优势、多层与单层全胃肠外营养袋的比较，以及营养团队的存在和临床营养培训对改善方案处方和实施的作用。
三腔室袋安全、经济且符合人体工程学。然而，保留药房为患有特定病症的儿童和（成人）患者配制全胃肠外营养的知识很重要。目前正在研发具有三个以上腔室的袋子，例如包含维生素。这需要改进袋子材料和包装。通过促进临床营养培训和实施多学科营养支持团队，在全胃肠外营养处方和实施以及相关感染发生率方面可以取得进展。
