中国药师
中國藥師
중국약사
CHINA PHARMACIST
2014年
11期
1906-1909
,共4页
赵稳华%舒鹤%张莉%郭晋敏
趙穩華%舒鶴%張莉%郭晉敏
조은화%서학%장리%곽진민
抗菌药%专项整治%Ⅰ类切口%合理用药
抗菌藥%專項整治%Ⅰ類切口%閤理用藥
항균약%전항정치%Ⅰ류절구%합리용약
Antimicrobial drug%Special rectification%Type I incision%Rational drug use
目的：通过对比专项整治前后我院Ⅰ类切口手术抗菌药预防使用情况,考察我院Ⅰ类切口手术抗菌药使用改进情况。方法：从整治前2011年5~12月、整治中2012年5~12月和整治后2013年5~12月中每月随机抽取100份Ⅰ类切口手术病例,对抗菌药预防使用情况进行统计和对比分析。结果：专项整治后,Ⅰ类切口手术抗菌药预防性使用率从100%下降至28%,其中卫计委强调的7类手术(腹股沟疝修补术、甲状腺疾病手术、乳腺疾病手术、关节镜检查术、颈动脉内膜剥脱术、颅骨肿物切除术和经血管途径介入诊断术)抗菌药预防性使用率降至11%,抗菌药选用更加合理,药物使用时机时程、用法用量不合理率明显降低,联合用药现象显著减少。结论：专项整治成效显著,Ⅰ类切口手术抗菌药预防使用合理性得到明显改善。
目的：通過對比專項整治前後我院Ⅰ類切口手術抗菌藥預防使用情況,攷察我院Ⅰ類切口手術抗菌藥使用改進情況。方法：從整治前2011年5~12月、整治中2012年5~12月和整治後2013年5~12月中每月隨機抽取100份Ⅰ類切口手術病例,對抗菌藥預防使用情況進行統計和對比分析。結果：專項整治後,Ⅰ類切口手術抗菌藥預防性使用率從100%下降至28%,其中衛計委彊調的7類手術(腹股溝疝脩補術、甲狀腺疾病手術、乳腺疾病手術、關節鏡檢查術、頸動脈內膜剝脫術、顱骨腫物切除術和經血管途徑介入診斷術)抗菌藥預防性使用率降至11%,抗菌藥選用更加閤理,藥物使用時機時程、用法用量不閤理率明顯降低,聯閤用藥現象顯著減少。結論：專項整治成效顯著,Ⅰ類切口手術抗菌藥預防使用閤理性得到明顯改善。
목적：통과대비전항정치전후아원Ⅰ류절구수술항균약예방사용정황,고찰아원Ⅰ류절구수술항균약사용개진정황。방법：종정치전2011년5~12월、정치중2012년5~12월화정치후2013년5~12월중매월수궤추취100빈Ⅰ류절구수술병례,대항균약예방사용정황진행통계화대비분석。결과：전항정치후,Ⅰ류절구수술항균약예방성사용솔종100%하강지28%,기중위계위강조적7류수술(복고구산수보술、갑상선질병수술、유선질병수술、관절경검사술、경동맥내막박탈술、로골종물절제술화경혈관도경개입진단술)항균약예방성사용솔강지11%,항균약선용경가합리,약물사용시궤시정、용법용량불합리솔명현강저,연합용약현상현저감소。결론：전항정치성효현저,Ⅰ류절구수술항균약예방사용합이성득도명현개선。
Objective:To investigate the improvement in antibiotics use in our hospital by comparing the prophylactic application of antibiotics in type I incision before and after antimicrobial drug special rectification. Methods:The medical records of 100 hospital-ized patients undergoing I incision respectively from May to December in 2011 (before the rectification), from May to December in 2012 ( during the rectification) and from May to December in 2013 ( after the rectification) were withdrawn randomly. The prophylactic application of antibiotics was statistically and comparatively analyzed. Results: After the antimicrobial drug special rectification, the prophylactic application rate of antibiotics was reduced from 100% to 28%, and in 7 kinds of operations stressed by the National Health and Family Planning Commission ( inguinal hernia repair, thyroid disease, breast disease, arthroscopy, carotid endarterectomy, skull tumor resection and endovascular interventional diagnosis) , the prophylactic use rate of antimicrobial drugs was reduced to 11%. The variety choice of antibiotics in type I incision was more reasonable. The irrationality rate of medication time and course was de-creased obviously, and the accuracy of dosage and usage was improved significantly. The combination of antibiotics was also notably decreased. Conclusion:The antimicrobial drug special rectification is effective, which can significantly improve the prophylactic appli-cation rationality of antibiotics for type I incision in our hospital.
