CAJ | 학술논문

目的：探讨乳腺纤维瘤切除术围术期应用预防性抗菌药物的成本-效果。方法选取2011年8月至2013年8月我院接收的乳腺纤维瘤切除术100例患者的围术期预防性抗菌药物的使用资料，按用药不同分为A、B 两组并进行回顾性分析。结果用药时间≤24 h，A组有效率为92.0%，B组为91.3%；用药时间＞24 h，A组有效率为96.0%，B组为92.6%；且两组患者术前术后身体情况比较，差异均无统计学意义（P＞0.05）；A组药物价格明显低于B组，差异有统计学意义（P＜0.05）。结论乳腺纤维瘤切除术后24 h便可停止预防性使用抗菌药物，且头孢唑林钠成本更为低廉。
목적：탐토유선섬유류절제술위술기응용예방성항균약물적성본-효과。방법선취2011년8월지2013년8월아원접수적유선섬유류절제술100례환자적위술기예방성항균약물적사용자료，안용약불동분위A、B 량조병진행회고성분석。결과용약시간≤24 h，A조유효솔위92.0%，B조위91.3%；용약시간＞24 h，A조유효솔위96.0%，B조위92.6%；차량조환자술전술후신체정황비교，차이균무통계학의의（P＞0.05）；A조약물개격명현저우B조，차이유통계학의의（P＜0.05）。결론유선섬유류절제술후24 h편가정지예방성사용항균약물，차두포서림납성본경위저렴。
Objective To explore the mammary gland fibroma resection perioperative application of antimicrobial drugs prevention cost effectiveness.Methods Select the mammary gland fibroma in 2011 August to 2013 August in our hospital accepted resection in 100 patients with perioperative prophylactic antibiotic use data,retrospective analysis.Results Comparing the two groups,group A time less than 24 h,its efficiency is 92.0%,91.3% in B group;A group medication time>24 h,its efficiency is 96.0%,92.6% in B group;comparison of the body and the patients of two groups before and after operation,the difference was not statisticaly significant(P>0.05);A group of drugs price significantly lower than B group,the difference was statisticaly significant(P<0.05).Conclusion Excision of mammary gland fibroma after 24 h can stop the use of prophylactic antibiotics,and cefazolin sodium is cheaper.