某院2006年1～3月人血白蛋白临床应用分析

目的:分析某院人血白蛋白的应用情况。方法:回顾性调查某院临床科室2006年1～3月人血白蛋白的应用情况,并与美国大学医院联合会关于人血白蛋白的使用标准进行比较。结果:该院55个临床科室涉及17类疾病使用人血白蛋白,用量较大的主要是危重患者;在个人用量分布方面,以使用10～20g的患者最多;用药理由以低蛋白血症所占比例最大,达51·10%;使用人血白蛋白前患者血清白蛋白分布主要集中在21～30g·L-1范围内。结论:该院人血白蛋白的使用较广泛,但也存在医师对人血白蛋白的适应证不清楚,导致不合理使用情况,亟待干预。

Analysis of Utilization of Human Serum Albumin in a Hospital in the First Quarter of 2006

OBJECTIVE： To evaluate the utilization of human serum albumin in a hospital. METHODS： The utilization of human serum albumin in a hospital in the first quarter of 2006 was reviewed analytically using hospital computer database system. RESULTS： Human serum albumin was used in 55 departments for 17 categories of diseases, mainly for critical patients, with a common individual consumption quantity ranged from 10 g to 20 g. Most （51.10%） of the patients used this drug on account of hypoproteinemia, and most of them had a baseline serum albumin level at 21-30 g·L^-1 before using human serum albumin. CONCLUSION： Human serum albumin was used extensively in the hospital. But its use is sometimes irrational because some physicians didn＇t familiarize the real indications for using human albumin, which should be intervened urgently.