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目的:分析我院人血白蛋白的临床应用情况,促进其合理应用。方法:利用美康合理用药临床药学工作站,收集2009年4～6月我院9个内科科室和4个外科科室共278例人血白蛋白使用病例,采用Excel 2003对其年龄、科室、疾病种类等用药情况进行统计分析。结果:278例患者中,外科用量大于内科,以肝胆外科分布最多,占总例数的22.30%,其次为消化内科(14.75%)、心血管外科(11.87%)、普外科(10.79%);个人用药量多为10～20g;主要用于肿瘤、癌症(82例)、心脏疾病(36例)及骨关节疾病(23例)等重症患者;使用前患者血清白蛋白浓度主要集中在26～35 g·L~(-1)范围内。结论:我院人血白蛋白的临床应用基本合理,但还存在一些使用误区,应本着有效、安全、经济的合理用药原则,严格掌握白蛋白的适应证,促进人血白蛋白的合理应用。
Objective: To analyze the clinical application of human serum albumin in our hospital to promote its rational application. Methods: A total of 278 cases of human albumin used in 9 internal departments and 4 surgical departments in our hospital from April to June in 2009 were collected by using Meikang rational drug clinical pharmacy workstation. Excel 2003 was used to analyze its age, department, disease type Such as drug use statistical analysis. Results: In 278 patients, the amount of surgery was larger than that of internal medicine, and the distribution was the largest in hepatobiliary surgery, accounting for 22.30% of the total number of cases, followed by gastroenterology (14.75%), cardiovascular surgery (11.87%) and general surgery (10.79%). Mainly for the treatment of patients with severe diseases such as cancer, cancer (82 cases), heart disease (36 cases) and bone-joint disease (23 cases); the serum albumin concentrations of patients before use mainly concentrated in 26 ~ 35 g · L -1. Conclusion: The clinical application of human serum albumin in our hospital is basically reasonable, but there are still some mistaken ideas. Based on the principle of effective, safe and economical medication, we should strictly control the indication of albumin and promote the rational application of human serum albumin .