CAJ | 학술논문

目的：分析某医院Ⅰ类切口手术围手术期抗菌药物的预防使用情况。方法采用回顾性调查方法,随机抽取该院2013年7月份50份Ⅰ类切口手术病历,对预防使用抗菌药物情况进行统计分析,评价其合理性。结果50例Ⅰ类切口手术使用抗菌药物比例达100%,4例合理,46例不合理,患者平均住院天数11.54 d,抗菌药物平均费用比为32.70%,不合理情况中比例较高的是超品种用药、预防用药起点过高,占29.25%,抗菌药物使用最多的是注射用美洛西林钠/舒巴坦钠,占48.00%。结论该院Ⅰ类切口手术围术期预防性使用抗菌药物存在较多不合理现象,有待采取有效措施进行临床用药干预。
목적：분석모의원Ⅰ류절구수술위수술기항균약물적예방사용정황。방법채용회고성조사방법,수궤추취해원2013년7월빈50빈Ⅰ류절구수술병력,대예방사용항균약물정황진행통계분석,평개기합이성。결과50례Ⅰ류절구수술사용항균약물비례체100%,4례합리,46례불합리,환자평균주원천수11.54 d,항균약물평균비용비위32.70%,불합리정황중비례교고적시초품충용약、예방용약기점과고,점29.25%,항균약물사용최다적시주사용미락서림납/서파탄납,점48.00%。결론해원Ⅰ류절구수술위술기예방성사용항균약물존재교다불합리현상,유대채취유효조시진행림상용약간예。
Objective To analyze the prophylactic use of antibiotics in type I incision surgery during perio-perative period in a hospital. Methods A retrospective survey was done for 50 cases history chosen randomly from the patients who underwent type I incision operation at the hospital July 2013.The prophylactic use of an-timicrobial drug was statistically analyzed.The rationality of prevention use of antibacterial drugs in peri-op-erative period was evaluated. Results The utilization rate of antimicrobial drugs in 50 cases underwent type I incision surgery was 100%,only 4 of 50 cases were rational,46 of them were irrational,the average hospitali-zation time was 1 1.54 days,the average expense rate of antibacterial drugs was 32.70%.The most irrational cases were the antibacterialdrugs that doctors used exceeding the varieties and the point of prophylactic drug use was high (29.25%).The most commonly used antibacterial drug was Mezlocillin sodium/Sulbactam sodi-um (48.00%). Conclusion Many problems existed in perioperative prophylactic antibiotics use in type I inci-sion surgery in the hosptal.Effective measures should be taken to intervene in the clinical drug use.