CAJ | 학술논문

目的：探讨对外科Ⅰ类切口手术围手术期预防应用抗菌药物的干预管理的有效性。方法以2010年全院外科甲状腺、乳腺、腹股沟疝、内固定取出术4种Ⅰ类切口手术全部病历291例为干预前组，以2012年同级别全部手术266例为干预后组，分析干预前后抗菌药物使用情况。结果干预后甲状腺、乳腺、腹股沟疝、内固定取出术围手术期抗菌药物使用率明显下降，由干预前96.29%、94.74%、100%、99.43%，下降至5.56%、14.29%、51.22%、65.22%，差异有统计学意义；乳腺、腹股沟疝、内固定取出术围手术期平均抗菌药物使用金额分别由263.63、866.01、1334.18元，下降至38.15、448.51、556.33元，差异有统计学意义。结论综合干预管理措施有成效。
목적：탐토대외과Ⅰ류절구수술위수술기예방응용항균약물적간예관리적유효성。방법이2010년전원외과갑상선、유선、복고구산、내고정취출술4충Ⅰ류절구수술전부병력291례위간예전조，이2012년동급별전부수술266례위간예후조，분석간예전후항균약물사용정황。결과간예후갑상선、유선、복고구산、내고정취출술위수술기항균약물사용솔명현하강，유간예전96.29%、94.74%、100%、99.43%，하강지5.56%、14.29%、51.22%、65.22%，차이유통계학의의；유선、복고구산、내고정취출술위수술기평균항균약물사용금액분별유263.63、866.01、1334.18원，하강지38.15、448.51、556.33원，차이유통계학의의。결론종합간예관리조시유성효。
Objective To explore the surgical typeⅠincision operation of perioperative prevention intervention in the management of the effectiveness of application of antimicrobial agents. Method To floor 2010 surgical thyroid, breast, inguinal hernia, internal fixation, use four type Ⅰ incision operation before all the medical records of 291 cases of intervention group, with 2012 levels all surgery 266 cases as group after the intervention, the use of antibacterial agents in analysis before and after the intervention. Results After the intervention of thyroid, breast, inguinal hernia, internal fixation of perioperative antimicrobial use utilization rate significantly decreased, from 96.29%before intervention, 94.74%, 100%, 99.43%to 5.56%, 14.29%, 51.22%, 65.22%, the difference was statistically significant;breast, inguinal hernia, internal fixation with use perioperative antimicrobial drug use amount on average by 263.63 yuan, 866.01 yuan and 866.01 yuan respectively dropped to 38.15 yuan, 448.51 yuan and 556.33 yuan, the difference was statistically significant. Conculsons Comprehensive intervention measures for effective management.