[关键词]
[摘要]
目的 了解2017年徐州市中医院普外科Ⅰ类切口手术围术期预防用抗菌药物的应用情况,为临床合理用药提供参考。方法 随机抽取徐州市中医院2017年普外科Ⅰ类切口手术出院患者病历633例,对围术期抗菌药物预防性应用情况及其合理性进行评价与分析。结果 633例患者中260例预防性应用抗菌药物,抗菌药物使用率为41.07%;药物品种选择最多的为头霉素类(34.45%),其次是硫酸依替米星(32.44%);给药时间在术前0.5~1 h的有235例,占90.38%;91.54%患者使用疗程在24 h内;联合用药的126例,占48.46%。结论 徐州市中医院普外科Ⅰ类切口手术围术期预防性应用抗菌药物存在用药指征把握不严,药物品种选择不当,联合用药较多等严重问题,应加强抗菌药物临床应用管理,促进抗菌药物临床的合理应用。
[Key word]
[Abstract]
Objective To investigate the prophylactic application of antibiotics undergoing typeⅠincision operation in Department of General Surgery of Xuzhou City Hospital of Traditional Chinese Medicine in 2017, and so as to provide reference for rational use of drugs. Methods A total of 633 medical records of the patients undergoing typeⅠincision operation in Department of General Surgery of Xuzhou City Hospital of Traditional Chinese Medicine were randomly selected, and prophylactic application and rationality of antibiotics were evaluated and analyzed. Results In the 633 cases of patients, there were 260 cases of patients with prophylactic application of antibiotics, and the rate of antibiotics was 41.07%. The most choice of antimicrobial variety was cephamycins, accounting for 34.45%, and then was etimicin sulfate, accounting for 32.44%. The cases of administration time 0.5-1 h before operation was 235, accounting for 90.38%. The proportion of patients with drug course within 24 h was 91.54%. Drug combination was 126 cases (48.46%). Conclusion There are severely unreasonable phenomenon of preventive antibiotics use in typeⅠincision operation in Department of General Surgery of Xuzhou City Hospital of Traditional Chinese Medicine, especially including improper medication indications, incorrect choice of drugs, and combined use of more drugs. It is necessary to strengthen the management in clinical application of antibiotics, and so as to promote the rational use of antibiotics in clinic.
[中图分类号]
[基金项目]