我院住院患者人血白蛋白应用调查

Application of human albumin in patients admitted to our hospital

  • 摘要: 目的 对我院人血白蛋白临床应用情况进行合理性评价。方法 对我院2010年2月-2011年2月使用过人血白蛋白住院患者8 243例的年龄、科室、性别、疾病种类、个人用药量、用药前血清蛋白浓度等用药情况进行统计分析。结果 8243例中,用药量最多的在50-79岁;外科患者多于内科,以肝胆外科分布最多,占总例数的20.08%,其次为骨科(11.38%)、心血管外科(8.80%)、普通外科(7.5%),多为癌症患者术后用药;个人用药量以10-20g最多,占总人数的42.14%。结论 我院人血白蛋白的应用较为合理,但仍有不合理之处,应本着有效、安全、经济的合理用药原则,严格掌握人血白蛋白适应证,促进人血白蛋白的合理应用。

     

    Abstract: Objective To evaluate the clinical application of human albumin in patients admitted to our hospital. Methods Parameters of 8 243 patients who used human albumin in different departments of our hospital from February 2010 to February 2011 were analyzed,including the age,gender,disease,dosage of albumin used,and concentration of albumin before treatment. Results The dosage of albumin used in patients at the age of 50-79 years was the greatest.The number of patients was greater in departments of surgery(especially in department of hepatobiliary surgery) than in those of internal medicine,accounting for 20.08% of the 8 243 patients,followed by department of orthopedics(11.38%),department of cardiovascular surgery(8.80%),and department of general surgery(7.5%).Human albumin was mainly used in post-operative cancer patients at the dose of 10-20g,accounting for 42.14% of the total cancer patients. Conclusion The use of human albumin in our hospital is rational,but abuse still exists.Human albumin should be used strictly according to its indications and the rational drug use principles.

     

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