CAJ | 학술논문

目的：了解焦作市第二人民医院（以下简称“我院”）人血白蛋白的临床应用情况，评价其使用的合理性。方法：回顾性调查2011—2013年我院使用了人血白蛋白的3486例住院患者病历，对患者年龄、性别、临床诊断、住院科室、人血白蛋白的用法及用量、血清白蛋白浓度监测等进行统计分析。结果：3486例使用人血白蛋白的住院患者中，普外科最多，为1372例，占39.36％；用药剂量以10～30 g居多（1646例，占47.23％）；多用于营养支持（1437例，占41.21％）。我院住院患者人血白蛋白的应用基本合理，但仍存在少数适应证不适宜、用法与用量不适宜的情况。结论：我院人血白蛋白的应用还存在一些误区，医师应严格掌握人血白蛋白的适应证，谨慎用药。
목적：료해초작시제이인민의원（이하간칭“아원”）인혈백단백적림상응용정황，평개기사용적합이성。방법：회고성조사2011—2013년아원사용료인혈백단백적3486례주원환자병력，대환자년령、성별、림상진단、주원과실、인혈백단백적용법급용량、혈청백단백농도감측등진행통계분석。결과：3486례사용인혈백단백적주원환자중，보외과최다，위1372례，점39.36％；용약제량이10～30 g거다（1646례，점47.23％）；다용우영양지지（1437례，점41.21％）。아원주원환자인혈백단백적응용기본합리，단잉존재소수괄응증불괄의、용법여용량불괄의적정황。결론：아원인혈백단백적응용환존재일사오구，의사응엄격장악인혈백단백적괄응증，근신용약。
OBJECTIVE:To analyze the use of human serum albumin in Jiaozuo Municipal Second Peoples'Hospital( hereinafter referred to as“our hospital”) and evaluate its rationality .METHODS:The medical records of the inpatients in our hospital treated with human serum albumin from January 2011 to December 2013 were analyzed statistically and retrospectively with regard to patients'age, sex, clinical diagnosis, clinical departments, usage and dosage of human serum albumin and monitoring of human serum albumin concentration etc .RESULTS: A total of 3 486 inpatients received human serum albumin in our hospital , with 1 372 ( 29.36%) coming from department of general surgery, 646(47.23%) receiving human serum albumin at dose of 10-30 g, and 1 437(41.21%) receiving human serum albumin for nutritional support .The use of human serum albumin in our hospital was rational on the whole; yet, inappropriateness in indications , usage or dosage was still noted in a few cases .CONCLUSIONS:There are still some errors in hospital's application of human serum albumin .It is important for physicians to strictly master the indications for using human serum albumin to achieve prudent use of human serum albumin .