目的 對鄂爾多斯市中心醫(yī)院人血白蛋白的臨床使用情況進(jìn)行分析，為臨床合理用藥提供支持。方法 抽取2015年鄂爾多斯市中心醫(yī)院使用人血白蛋白注射液的住院患者病歷1 081份，對患者的基本情況，人血白蛋白的使用科室、用藥原因和血清白蛋白的濃度檢測等數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果 人血白蛋白的使用患者年齡集中于60歲以上，構(gòu)成比為64.38%。用藥人數(shù)和用藥總量較多的科室均為普通外科、重癥監(jiān)護(hù)室、腎內(nèi)科；用藥原因以營養(yǎng)支持所占比例最大，為34.32%；用藥中血清白蛋白濃度>40.00 g/L的患者為127例，占11.75%，227例患者未檢測血清白蛋白濃度。結(jié)論 鄂爾多斯市中心醫(yī)院人血白蛋白在臨床應(yīng)用中存在一些誤區(qū)，無指征用藥、未進(jìn)行血清白蛋白濃度檢測等現(xiàn)象仍然存在，應(yīng)加強(qiáng)監(jiān)督管理，促進(jìn)合理用藥。

Objective To investigate the application of human albumin in Ordos Central Hospital, and to provide support for rational use of drugs in clinic. Methods In-patients (1081 cases) using Human Albumin Injection in Ordos Central Hospital in 2015 were randomly extracted. General information of patients, medicine departments and reasons of the use of human albumin, and concentration detection of serum albumin were analyzed statistically. Results Patients using human albumin were focused on the patients who are over 60 years old, and the constituent ratio was 64.38%. The departments with more number of patients and total dose were Department of General Surgery, Intensive Care Unit, and Department of Nephrology. Nutritional support (34.32%) accounted for the maximum ratio of medical reasons. The cases of patients with concentration of serum albumin in the medication above 40 g/L were 127, accounting for 11.75%. There were 227 cases of patients who were not detected the concentration of serum albumin. Conclusion There are still some misunderstandings in the application of human serum albumin in Ordos Central Hospital, such as no indication of medicine and not detecting the concentration of serum albumin. Therefore, the management of human albumin should be strengthened, and to promote reasonable use of drugs.