中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
z1期
16-18
,共3页
抗生素预防%疝,腹股沟%疝修补术%围手术期
抗生素預防%疝,腹股溝%疝脩補術%圍手術期
항생소예방%산,복고구%산수보술%위수술기
Antibiotic prophylaxis%Hernia,inguinal%Herniorrhaphy%Perioperative period
目的：了解2012年全国抗菌药物临床应用专项整治活动开展前后腹股沟疝无张力修补术围手术期抗菌药物应用情况，为规范抗菌药物合理使用及加强规范化管理提供依据。方法分别对某医院2011-2013年每年7～9月份出院的腹股沟疝无张力修补术患者围手术期抗菌药物应用情况进行回顾性调查，对抗菌药物的给药时机、使用率、种类及用药时间进行调查和分析。结果三年的总预防用药率分别为93.24％、47．76％和27．59％，有指征用药率分别为9．19％、65．67％和85．08％，切口甲级愈合率分别为94.59％、98．51％和96．55％。品种选择合理率分别为70．60％、96．88％和91．67％，用药时机合理率分别为71.01％、81．25％和70．83％，总预防用药疗程合理率为33．33％、56．25％和58．33％。结论腹股沟疝无张力修补术原则上不预防使用抗菌药物具有可操作性。深入开展2012年抗菌药物临床应用专项整治活动后，腹股沟疝无张力修补术预防用药水平有了很大的提高，但仍须加强管理抗菌药物预防用药时机选择和总的预防用药疗程。
目的：瞭解2012年全國抗菌藥物臨床應用專項整治活動開展前後腹股溝疝無張力脩補術圍手術期抗菌藥物應用情況，為規範抗菌藥物閤理使用及加彊規範化管理提供依據。方法分彆對某醫院2011-2013年每年7～9月份齣院的腹股溝疝無張力脩補術患者圍手術期抗菌藥物應用情況進行迴顧性調查，對抗菌藥物的給藥時機、使用率、種類及用藥時間進行調查和分析。結果三年的總預防用藥率分彆為93.24％、47．76％和27．59％，有指徵用藥率分彆為9．19％、65．67％和85．08％，切口甲級愈閤率分彆為94.59％、98．51％和96．55％。品種選擇閤理率分彆為70．60％、96．88％和91．67％，用藥時機閤理率分彆為71.01％、81．25％和70．83％，總預防用藥療程閤理率為33．33％、56．25％和58．33％。結論腹股溝疝無張力脩補術原則上不預防使用抗菌藥物具有可操作性。深入開展2012年抗菌藥物臨床應用專項整治活動後，腹股溝疝無張力脩補術預防用藥水平有瞭很大的提高，但仍鬚加彊管理抗菌藥物預防用藥時機選擇和總的預防用藥療程。
목적：료해2012년전국항균약물림상응용전항정치활동개전전후복고구산무장력수보술위수술기항균약물응용정황，위규범항균약물합리사용급가강규범화관리제공의거。방법분별대모의원2011-2013년매년7～9월빈출원적복고구산무장력수보술환자위수술기항균약물응용정황진행회고성조사，대항균약물적급약시궤、사용솔、충류급용약시간진행조사화분석。결과삼년적총예방용약솔분별위93.24％、47．76％화27．59％，유지정용약솔분별위9．19％、65．67％화85．08％，절구갑급유합솔분별위94.59％、98．51％화96．55％。품충선택합리솔분별위70．60％、96．88％화91．67％，용약시궤합리솔분별위71.01％、81．25％화70．83％，총예방용약료정합리솔위33．33％、56．25％화58．33％。결론복고구산무장력수보술원칙상불예방사용항균약물구유가조작성。심입개전2012년항균약물림상응용전항정치활동후，복고구산무장력수보술예방용약수평유료흔대적제고，단잉수가강관리항균약물예방용약시궤선택화총적예방용약료정。
Objective To investigate the use of antibacterial drugs in tension -free inguinal hernia repair before and after the 2012 National clinical use of antibiotics special management ,providing the basis for the rational use of antimicrobial drugs and standardized management .Methods Retrospectively investigate the antimicrobial ap-plication in patients undergoing tension-free inguinal hernia repair and discharged from July to September in 2011-2013,and analyzed the timing of administration ,usage,type and treatment time of antimicrobial drugs .Results There were respectively 93.24%,47.76%and 27.59%of patients in the three groups administrated prophylaxis antibacte-rial drugs,and respectively 9.19%,65.67%and 85.08%of patients with indications .The first wound healing rates were respectively 94.59%,98.51% and 96.55%.The rates of reasonable choice of medicines 70.60%,96.88%and 91.67%,respectively;the rates of reasonable timing for medication were 71.01%,81.25%and 70.83%,respec-tively;the rates of reasonable courses of prophylaxis therapy were 33.33%,56.25% and 58.33% respectively. Conclusion The principle of no preventive antibiotics use in tension-free inguinal hernia repair is operable .After en-actment of special management of antibacterial drugs ,the level of preventive medication for tension-free inguinal herni-a repair is improved greatly .However ,it still needs to strengthen the management of antimicrobial prophylaxis timing and overall prophylaxis treatment course .
