CAJ | 학술논문

目的：探讨剑河县人民医院创建“二级甲等医院”前后抗生素应用情况。方法回顾性分析剑河县人民医院创建“二级甲等医院”前的2011年1月病历中感染个案登记表和偶数日全天处方2431份与剑河县人民医院创建“二级甲等医院”后的2012年1月病历中感染个案登记表和偶数日全天处方2451份，共4882份。结果升级前全院用抗生素1413份，占58.1%，升级后使用1289份，占52.6%；升级前后相比，差异具有统计学意义(χ2=15.12,P<0.001)；抗生素联用也从升级前的15.5%降至升级后的9.4%，差异有统计学意义（χ2=40.04，P<0.001）。结论创甲后剑河县人民医院抗生素使用、联用及头孢哌酮舒巴坦使用率，均有明显改善，但与世界卫生提倡抗生素使用率30%的要求相比还有一定差距，需进一步学习和整改。
목적：탐토검하현인민의원창건“이급갑등의원”전후항생소응용정황。방법회고성분석검하현인민의원창건“이급갑등의원”전적2011년1월병력중감염개안등기표화우수일전천처방2431빈여검하현인민의원창건“이급갑등의원”후적2012년1월병력중감염개안등기표화우수일전천처방2451빈，공4882빈。결과승급전전원용항생소1413빈，점58.1%，승급후사용1289빈，점52.6%；승급전후상비，차이구유통계학의의(χ2=15.12,P<0.001)；항생소련용야종승급전적15.5%강지승급후적9.4%，차이유통계학의의（χ2=40.04，P<0.001）。결론창갑후검하현인민의원항생소사용、련용급두포고동서파탄사용솔，균유명현개선，단여세계위생제창항생소사용솔30%적요구상비환유일정차거，수진일보학습화정개。
Objective To investigate the jian he county people's hospital to create"level 2 grade a hospital"before and after application of antibiotics. Methods A retrospective extraction upgrade before January 2011 cases in medical record registration and even-numbered days throughout the prescriptions of 2161 in January 2012 medical records with the upgraded infection case registration form and even-numbered days throughout the prescription, 2451, a total of 4882 copies. Results Upgrade and partial use of antibiotics before 1413, accounting for 58.1%, after upgrading to use 1289, accounting for 52.6%, compared before and after the upgrade, a very significant difference (χ2=15.12, P<0.001) antibiotics from 15.5%before the upgrade also dropped to 9.4%after the upgrade (χ2=40.04, P<0.001). Conclusion At a hospital after antibiotic use, combination and cefoperazoneshubajotham utilization rate, has improved significantly, but with the world health advocates the antibiotic usage, compared to 30%of the requirements also has the very big difference, need further study and improvement.