CAJ | 학술논문

目的对江门市中心医院I类切口手术预防性应用抗菌药物情况进行调查分析.方法随机选取2010年1月~2011年1月江门市中心医院收治的I类切口手术患者82例,对其抗菌药物使用情况进行调查分析.结果抽取的82例I类切口手术患者中男62例(占75.61%),女20例(占24.39%);年龄11~69岁,平均(42.21±1.21)岁;颈部外科手术31例(占37.80%),乳腺手术21例(占25.61%),腹外疝手术20例(占24.39%),骨科手术10例(占12.19%);手术前使用抗生素共计72例(占87.80%),术前未使用抗生素10例(占12.19%);术前<2 h使用抗菌药物62例(占86.11%),术前>2 h使用抗菌药物10例(占13.89%);适当延长抗菌药物预防性用药持续时间65例(90.28%),过长延长抗菌药物预防性用药持续时间7例(占9.72%);抗菌药物选择合理者64例(占88.89%),不合理8例(占11.11%).结论目前本院I类切口手术预防性应用抗菌药物情况比较合理,但仍存在抗菌药物使用时间过长、选取不正确等情况,需进一步提高临床医生的抗菌药物使用知识的了解,提高抗菌药物预防性应用的合理性.
목적대강문시중심의원I류절구수술예방성응용항균약물정황진행조사분석.방법수궤선취2010년1월~2011년1월강문시중심의원수치적I류절구수술환자82례,대기항균약물사용정황진행조사분석.결과추취적82례I류절구수술환자중남62례(점75.61%),녀20례(점24.39%);년령11~69세,평균(42.21±1.21)세;경부외과수술31례(점37.80%),유선수술21례(점25.61%),복외산수술20례(점24.39%),골과수술10례(점12.19%);수술전사용항생소공계72례(점87.80%),술전미사용항생소10례(점12.19%);술전<2 h사용항균약물62례(점86.11%),술전>2 h사용항균약물10례(점13.89%);괄당연장항균약물예방성용약지속시간65례(90.28%),과장연장항균약물예방성용약지속시간7례(점9.72%);항균약물선택합리자64례(점88.89%),불합리8례(점11.11%).결론목전본원I류절구수술예방성응용항균약물정황비교합리,단잉존재항균약물사용시간과장、선취불정학등정황,수진일보제고림상의생적항균약물사용지식적료해,제고항균약물예방성응용적합이성.
Objective To investigate the type I incision operation preventive use of antimicrobial agents. Methods Randomly selected in our hospital from 2010 January to 2011 January 82 patients with type I incision operation,the use of antimicrobial drugs were investigated in these patients. Results The sample of 82 cases of patients with type I incision operation in male in 62 cases (75.61%), 20 cases of female (24.39%);age biggest 69 years old, the youngest 11 years old,mean age (42.21 ±1.21) years;31 cases of surgical neck operation (37.80%), 21 cases of breast operation (25.61%), 20 cases of abdominal external hernia operation (24.39%), 10 cases of Department of orthopedics operation (12.19%). Before the operation, use of antibiotics in 72 cases (87.80%), without preoperative use of antibiotics in 10 cases (12.19%);less than 2 hours before the use of antibiotics in 62 cases (86.11%), preoperative more than 2 hours of use of antibiotics in 10 cases (13.89%);appropriate to extend the antibacterial drug prophylaxis is continuous time for a total of 65 cases (90.28%), long duration prolonged prophylaxis of 7 cases of antibacterial drugs (9.72%);64 cases of rational selection of antimicrobial drugs (88.89%), irrational in 8 cases (11.11%). Conclusion The type I incision operation the prophylactic use of antibiotics is basically reasonable,but there are still used for a long time of antibiotics, and antibiotic selection is not correct the situation,to the hospital for further improve the clinician's antimicrobial use knowledge,improve the rationality of prophylactic antimicrobial agents.