CAJ | 학술논문

目的：通过了解我院骨科Ⅰ类切口手术围术期预防性应用抗菌药物的使用情况，为规范抗菌药物合理应用提供依据。方法随机抽取2011年7月～2012年2月出院的500份Ⅰ类切口手术病历资料，进行统计、分析。结果抗菌药物预防应用率100％，抗菌药物使用以单一药物为主；抗菌药物使用频次排序列前3位的依次为头孢硫脒、头孢呋辛、头孢替安。抗菌药物选择合理的占62．0％，给药时机选择合理的占57．0％，术后用药疗程合理的占40．0％，用法用量合理的占79．4％。结论我院骨科Ⅰ类切口手术患者预防性使用抗菌药物存在用药品种选择不当、术前给药时机不够准确和术后用药时间较长等问题，有待进一步规范化管理。
목적：통과료해아원골과Ⅰ류절구수술위술기예방성응용항균약물적사용정황，위규범항균약물합리응용제공의거。방법수궤추취2011년7월～2012년2월출원적500빈Ⅰ류절구수술병력자료，진행통계、분석。결과항균약물예방응용솔100％，항균약물사용이단일약물위주；항균약물사용빈차배서렬전3위적의차위두포류미、두포부신、두포체안。항균약물선택합리적점62．0％，급약시궤선택합리적점57．0％，술후용약료정합리적점40．0％，용법용량합리적점79．4％。결론아원골과Ⅰ류절구수술환자예방성사용항균약물존재용약품충선택불당、술전급약시궤불구준학화술후용약시간교장등문제，유대진일보규범화관리。
Objective To investigate the utilization information of antibacterials in orthopedics department of our hospital in type Ⅰincision surgery ,and to provide references for rational use and management of antibacterials .Methods 500 cases of antibacterials application of typeⅠ incision surgery inpatients in our hospital from July 2011 to 2012 were summarized and analyzed ,retrospec-tively .Results The prophylactic use of antibacterials during perioperative period reached upto 100% .Antibacterials ,as a single a-gent-based ,was used in all cases ,and the ranking orders of usage frequency was cefathiamidine ,cefuroxime and cefotiam .The rea-sonable choice rate of antibacterials ,administration time ,postoperative medication regimen and administration dosage was 62.0% , 57 .0% ,40 .0% and 79 .4 % ,respectively .Conclusion The prophylactic antimicrobial use in type Ⅰ incision surgery still had un-reasonable phenomena in our hospital which need to be further standardized and managed .