CAJ | 학술논문

目的：调查综合干预前、中、后剖宫产围手术期抗菌药物使用情况，了解抗菌药物管理和干预效果，为促进合理用药提供依据。方法：分别抽取2011年10月—2012年3月（干预前）、2012年4月—2012年9月（干预中）、2012年10月—2013年3月（干预后）病历各80份，进行回顾性调查，对抗菌药物选择、联合用药、给药时机、疗程、费用、住院天数等进行统计分析。结果：干预后抗菌药物的品种选择主要是第一代或第二代头孢菌素，无联合用药，给药时机主要为钳夹脐带后，疗程大多控制在24 h内，抗菌药物使用费用明显降低。结论：通过我院各部门的综合干预，剖宫产围手术期应用抗菌药物已基本合理。
목적：조사종합간예전、중、후부궁산위수술기항균약물사용정황，료해항균약물관리화간예효과，위촉진합리용약제공의거。방법：분별추취2011년10월—2012년3월（간예전）、2012년4월—2012년9월（간예중）、2012년10월—2013년3월（간예후）병력각80빈，진행회고성조사，대항균약물선택、연합용약、급약시궤、료정、비용、주원천수등진행통계분석。결과：간예후항균약물적품충선택주요시제일대혹제이대두포균소，무연합용약，급약시궤주요위겸협제대후，료정대다공제재24 h내，항균약물사용비용명현강저。결론：통과아원각부문적종합간예，부궁산위수술기응용항균약물이기본합리。
Objective: To investigate the use of perioperative antimicrobials in cesarean section before, during and after the comprehensive intervention, and to understand the effect of perioperative antimicrobial drug management and intervention measures, so as to provide a basis for further promoting the rational use of drugs.Methods:A total of 80 medical records before,during and after the comprehensive intervention,from the records of 2011.10-2012.03 (pre-intervention), 2012.04-2012.09 (intervention), 2012.10-2013.03 (after intervention) were respectively selected and surveyed retrospectively. The antimicrobials selection, combination therapy, timing of administration, period of treatment, cost, and days of hospitalization were comparatively analyzed.Results: After the intervention, the selection of antibiotics species is mainly ifrst or second-generation cephalosporins with no combination the rapy; timing of administration is mainly after cord clamping; the course has been basically controlled within 24h and antimicrobial drug costs were signiifcantly reduced.Conclusion: Perioperative use of antibiotics in cesarean section has become reasonable through hospital departments’ comprehensive intervention.