摘要
目的调查分析某院I类切口手术（甲状腺手术、乳腺手术、腹股沟斜疝修补术、闭合性骨折内固定术）围手术期抗茵药物预防应用情况，规范抗菌药物临床应用行为，提高合理用药水平。方法采用回顾性调查方法，随机抽取某院2011年1～12月416例4种I类切口手术病历资料进行统计分析。结果416例患者中，抗菌药物预防性应用率达99．5％，其中术前0．5-2h应用的仅为60例（占14.4％），术前〉2h的354例（占85．1％）。术后应用时间24-48h的18例（占4．3％），〉48h的396例（占95．2％）。预防性应用抗茵药物使用频次前4位分别为氨曲南、头孢硫脒、头孢替安、头孢唑肟。结论某院4种I类切口手术预防性应用抗菌药物存在不合理现象，应引起重视，加强监督管理，落实到位。
Objective： To investigate and analyze the perioperative antibiotic prophylaxis application in type I incision （thyroid surgery, breast surgery, inguinal hernia repair, the closed reduction and internal fLxation for fractures）, regularize the behaviour of antibiotic clinical application, improve the rational drug use levels. Methods： 416 cases with four kinds of type I incision were retrospectively investigated by random sampling from the patients from January to December 2011. Results： Preventive application of antibiotics occurred in 99.5% of 416 cases, only 60 cases （14.4%） 0.5-2 h before operation, 354 cases （85.1%） over 2 h before operation, 18 cases （4.3%） 24-48 h after operation, 396 cases （95.2%） over 48h after operation. The top four preventive medicines were aztreonam, cefathiamidine, cefotiam, and ceflizoxime. Conclusion： Irrational preventive medication of antibacterials in patients with four kinds of type I incision is exist in this hospital, more attention should be paid, supervision and management should be strengthened.
出处
《井冈山大学学报（自然科学版）》
2013年第3期88-91,共4页
Journal of Jinggangshan University (Natural Science)
关键词
Ⅰ类切口手术
围手术期
抗菌药物
预防应用
合理用药
type I incision
perioperation period
antibiotics
prophylactic application
rational drug use
