中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
26期
174-176,179
,共4页
玉类切口手术%抗菌药物%调查分析
玉類切口手術%抗菌藥物%調查分析
옥류절구수술%항균약물%조사분석
ClassⅠ incision surgery%Antibacterial agent%Investigation and analysis
目的：了解本院围术期玉类切口手术抗菌药物使用情况，加强抗菌药物的使用管理，评价其合理性。方法抽取2013年1~12月该院玉类切口手术(乳腺手术、甲状腺手术、疝气修补术)病历512例，对抗菌药物使用情况进行统计分析。结果围术期玉类切口手术抗菌药物使用者378例，使用率为73.83%；合理用药218例，合格率为57.67%，不合理用药160例，占42.33%。所用抗菌药物涉及5类13种；术前0.5~2 h内给药240例(63.49%)，术后用药时间跃24 h 185例(48.94%)，用药时间跃48 h 102例(26.98%)。结论本院玉类切口手术患者预防性使用抗菌药物存在用药指征把握不严、抗菌药物选择不合理、用药时机不当、过度用药、用药时间过长、联合用药不合理等现象，有待进一步规范化管理。
目的：瞭解本院圍術期玉類切口手術抗菌藥物使用情況，加彊抗菌藥物的使用管理，評價其閤理性。方法抽取2013年1~12月該院玉類切口手術(乳腺手術、甲狀腺手術、疝氣脩補術)病歷512例，對抗菌藥物使用情況進行統計分析。結果圍術期玉類切口手術抗菌藥物使用者378例，使用率為73.83%；閤理用藥218例，閤格率為57.67%，不閤理用藥160例，佔42.33%。所用抗菌藥物涉及5類13種；術前0.5~2 h內給藥240例(63.49%)，術後用藥時間躍24 h 185例(48.94%)，用藥時間躍48 h 102例(26.98%)。結論本院玉類切口手術患者預防性使用抗菌藥物存在用藥指徵把握不嚴、抗菌藥物選擇不閤理、用藥時機不噹、過度用藥、用藥時間過長、聯閤用藥不閤理等現象，有待進一步規範化管理。
목적：료해본원위술기옥류절구수술항균약물사용정황，가강항균약물적사용관리，평개기합이성。방법추취2013년1~12월해원옥류절구수술(유선수술、갑상선수술、산기수보술)병력512례，대항균약물사용정황진행통계분석。결과위술기옥류절구수술항균약물사용자378례，사용솔위73.83%；합리용약218례，합격솔위57.67%，불합리용약160례，점42.33%。소용항균약물섭급5류13충；술전0.5~2 h내급약240례(63.49%)，술후용약시간약24 h 185례(48.94%)，용약시간약48 h 102례(26.98%)。결론본원옥류절구수술환자예방성사용항균약물존재용약지정파악불엄、항균약물선택불합리、용약시궤불당、과도용약、용약시간과장、연합용약불합리등현상，유대진일보규범화관리。
Objective To investigate the usage of antibacterial drugs in the perioperative period of class Ⅰ incision surgery in the hospital,strengthen the use management of antibacterial drugs and evaluate its rationality. Methods 512 cases of medical records on class Ⅰ incision surgery (breast surgery,thyroid surgery and hernia repair) in the hospital from January to December 2013 were selected and the usage of antibacterial drugs was analyzed statistically. Results There were 378 patients who used antibacterial drugs in the perioperative period of class Ⅰ incision surgery,with the usage rate of 73.83%,of which 218 patients were given rational drug use,with the pass percent of 57.67%,and 160 patients were given irrational drug use,accounting for 42.33%.The antibacterial drugs consisted of 5 categories and 13 types.240 patients (63.49%) were administered 0.5 to 2 hours before surgery,185 patients (48.94%) were administered more than 24 hours after surgery,and 102 patients (26.98%) were administered more than 48 hours after surgery. Conclusion Re-grading to the preventative application of antibacterial drugs in the perioperative period of class Ⅰ incision surgery in the hospital,there still exist problems such as non-strict medication indications,irrational selection of antibacterial drugs,improper medication timing,excessive medication,overlong medication time and irrational drug combination,which require further standardized management.
