老年患者应用人血白蛋白的合理性分析  

Analysis of the rationality for the use of human serum albumin in elderly patients

作　　者：王国军[1] 李俊[1] 李建设[1] 张忠涛[1] WANG Guo-Jun, LI Jun, LI Jian-she, et al.(Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China)

机构地区：[1]首都医科大学附属北京友谊医院医保外科,北京100050

出　　处：《临床和实验医学杂志》2018年第14期1567-1569,共3页Journal of Clinical and Experimental Medicine

基　　金：首都医科大学基础-临床合作基金(编号:17JL18)

摘　　要：目的观察老年患者(年龄>65岁)应用人血白蛋白(HSA)的情况,并评价其合理性。方法回顾性分析2017年1月至12月首都医科大学附属北京友谊医院602例老年患者(年龄>65岁)应用人血白蛋白的情况,分析HSA的使用理由与合理性,以及不合理使用人血白蛋白的情况。结果老年患者使用HSA的科室有22个,用药原因主要是防治低白蛋白血症和术后营养支持。临床诊断与中国药物说明书、临床用药须知、美国大学医院联合会指南(UHC)及欧洲指南推荐适应证的相符率分别为69.77%、67.94%、22.92%、18.77%。结论首都医科大学附属北京友谊医院老年住院患者HSA应用广泛,使用合理性有待加强。Objective To investigate the situation of application of human serum albumin（HSA） in elderly patients（age〉65）, and evaluate the rationality of its use. Methods The data of the application of HSA in elderly patients in Beijing Friendship Hospital, Capital Medical University from January 2017 to December 2017 were collected retrospectively. The application rationality of HSA was evaluated according to the clinical therapeutic guidelines. Results HSA was used in 22 departments, most patients used this drug for hypoproteinemia and postoperative nutrition support. The diagnostic accordance rate according to Instruction, Clinical application notes, The University Hospital Consortium（UHC）and European guidelines was 69.77%,67.94%,22.92% and 18.77%. Conclusion HSA was used widely in Beijing Friendship Hospital, Capital Medical University. The application of human serum albumin still need to be further rationalized.

关 键 词：老年患者 人血白蛋白 临床应用 合理性分析 

分 类 号：R95[医药卫生—药学]