CAJ | 학술논문

目的：了解北京市房山区第一医院（以下简称“我院”）手术患者中抗菌药物的使用情况、使用特点及存在的问题，为临床合理应用抗菌药物提供参考。方法：随机抽取2013年我院224份手术病历，对患者情况、抗菌药物使用情况、手术情况、切口类别等进行统计分析。结果：224份病历中，Ⅰ类切口手术68例，占30.4％，抗菌药物使用率为29.4％，主要使用的抗菌药物为注射用头孢呋辛；Ⅱ类切口手术137例，占61.2％，主要使用的抗菌药物为注射用头孢呋辛、注射用头孢拉定、注射用头孢西丁、注射用奥硝唑、头孢呋辛酯片等。结论：我院手术患者抗菌药物的使用情况基本合理，但在抗菌药物使用剂量、频次、使用时间及联合用药等方面仍存在问题，需要继续加强抗菌药物合理使用的培训与宣传工作，促进临床合理用药。
목적：료해북경시방산구제일의원（이하간칭“아원”）수술환자중항균약물적사용정황、사용특점급존재적문제，위림상합리응용항균약물제공삼고。방법：수궤추취2013년아원224빈수술병력，대환자정황、항균약물사용정황、수술정황、절구유별등진행통계분석。결과：224빈병력중，Ⅰ류절구수술68례，점30.4％，항균약물사용솔위29.4％，주요사용적항균약물위주사용두포부신；Ⅱ류절구수술137례，점61.2％，주요사용적항균약물위주사용두포부신、주사용두포랍정、주사용두포서정、주사용오초서、두포부신지편등。결론：아원수술환자항균약물적사용정황기본합리，단재항균약물사용제량、빈차、사용시간급연합용약등방면잉존재문제，수요계속가강항균약물합리사용적배훈여선전공작，촉진림상합리용약。
OBJECTIVE:To investigate the status quo , characteristics and problems in the antibiotic use in surgical cases in Beijing Fangshan District First Hospital ( hereinafter referred to as “our hospital”) for reference of clinical rational use of antibiotics .METHODS:A total of 224 records of surgical cases in our hospital were randomly selected in 2013 for statistical analysis regarding patients'status, antibiotic use, surgery, incision type etc.RESULTS:Of the 224 cases, 68(30.4%) underwent type Ⅰincision surgery with 29.4%treated with antibiotics, predominantly cefuroxime for injection; 137 ( 61.2%) underwent type Ⅱ incision surgery , for whom the antibiotics including cefuroxime sodium for injection , cefradine for Injection , ornidazole for Injection and cefuroxime axetil tablets were used predominantly .CONCLUSIONS:The antibiotic use in surgical cases in our hospital was basically rational; however , there are still problems in dose , frequency and time of administration and combination therapy .It is important to tighten training and propaganda on the rational use of antibiotics to promote clinical rational use of antibiotics .