中国药师
中國藥師
중국약사
CHINA PHARMACIST
2014年
11期
1898-1900
,共3页
抗菌药%专项整治%妇科%围手术期%合理用药
抗菌藥%專項整治%婦科%圍手術期%閤理用藥
항균약%전항정치%부과%위수술기%합리용약
Antibiotics%Special rectification%Department of gynecology%Perioperative period%Rational drug use
目的：探讨开展抗菌药专项整治活动对我院妇科Ⅱ类切口手术围手术期抗菌药使用情况的影响。方法：回顾性比较2011年4~9月(整治前)及2013年4~9月(整治后)妇科Ⅱ类切口手术抗菌药种类及用药频度( DDDs)、金额、用药时机、用量、疗程、联合用药情况。结果：整治后,总DDDs从1564.5降至419.3,抗菌药费用和总药品费用分别从(297.5±47.1)元、(806.4±63.1)元降至(108.3±29.6)元、(498.1±70.2)元,抗菌药构成比从(36.9±9.1)%降至(21.7±6.8)%,术后疗程从(3.7±1.4)d降至(1.5±0.6)d,差异均有统计学意义(P<0.05)；用药时机合理率、用量合理率、联合用药合理率分别从67.7%、81.5%、41.1%增至98.6%、100.0%和80.7%(P<0.05)。结论：开展抗菌药专项整治活动可明显提高我院妇科Ⅱ类切口手术围手术期抗菌药使用的合理性。
目的：探討開展抗菌藥專項整治活動對我院婦科Ⅱ類切口手術圍手術期抗菌藥使用情況的影響。方法：迴顧性比較2011年4~9月(整治前)及2013年4~9月(整治後)婦科Ⅱ類切口手術抗菌藥種類及用藥頻度( DDDs)、金額、用藥時機、用量、療程、聯閤用藥情況。結果：整治後,總DDDs從1564.5降至419.3,抗菌藥費用和總藥品費用分彆從(297.5±47.1)元、(806.4±63.1)元降至(108.3±29.6)元、(498.1±70.2)元,抗菌藥構成比從(36.9±9.1)%降至(21.7±6.8)%,術後療程從(3.7±1.4)d降至(1.5±0.6)d,差異均有統計學意義(P<0.05)；用藥時機閤理率、用量閤理率、聯閤用藥閤理率分彆從67.7%、81.5%、41.1%增至98.6%、100.0%和80.7%(P<0.05)。結論：開展抗菌藥專項整治活動可明顯提高我院婦科Ⅱ類切口手術圍手術期抗菌藥使用的閤理性。
목적：탐토개전항균약전항정치활동대아원부과Ⅱ류절구수술위수술기항균약사용정황적영향。방법：회고성비교2011년4~9월(정치전)급2013년4~9월(정치후)부과Ⅱ류절구수술항균약충류급용약빈도( DDDs)、금액、용약시궤、용량、료정、연합용약정황。결과：정치후,총DDDs종1564.5강지419.3,항균약비용화총약품비용분별종(297.5±47.1)원、(806.4±63.1)원강지(108.3±29.6)원、(498.1±70.2)원,항균약구성비종(36.9±9.1)%강지(21.7±6.8)%,술후료정종(3.7±1.4)d강지(1.5±0.6)d,차이균유통계학의의(P<0.05)；용약시궤합리솔、용량합리솔、연합용약합리솔분별종67.7%、81.5%、41.1%증지98.6%、100.0%화80.7%(P<0.05)。결론：개전항균약전항정치활동가명현제고아원부과Ⅱ류절구수술위수술기항균약사용적합이성。
Objective:To explore the impact of special rectification on antibiotics application in the patients during perioperative period with gynecologic typeⅡincision in our hospital. Methods:The antibiotics type, use frequency, expense, administration time, dosage, treatment course and combined medication were retrospectively compared between April to September in 2011(before the recti-fication) and April to September in 2013 (after the rectification). Results: After the special rectification, the total DDDs was de-creased from 1 564. 5 to 419. 3, the expense for antibiotics and all drugs was respectively decreased from (297. 5 ± 47. 1) yuan to (108. 3 ± 29. 6) yuan and (806. 4 ± 63. 1)yuan to (498. 1 ± 70. 2) yuan, the proportion of antibiotics was decreased from (36. 9 ± 9.1) % to (21.7 ±6.8) %, and the treatment course was reduced from (3.7 ±1.4)d to (1.5 ±0.6)d(P<0.05). The rational rate of administration time, dosage and combined medication was respectively increased from 67. 7% to 98. 6%, 81. 5% to 100. 0%and 41. 1% to 80. 7%(P<0. 05). Conclusion:Special rectification can effectively improve the rational antibiotics use in gynecology department of our hospital during perioperative period of type Ⅱincision.
