CAJ | 학술논문

目的：评价惠州市中医医院（以下简称“我院”）抗菌药物专项整治后Ⅰ类切口手术预防性抗菌药物应用情况，观察整治成效。方法：随机抽查出我院2012—2014年连续3年Ⅰ类切口手术病历共582份，对其预防性抗菌药物的应用情况进行比较分析。结果：Ⅰ类切口手术抗菌药物使用率显著下降，药物选择、联合用药、给药时机及药物使用疗程等情况出现好转趋势，药物利用指数和抗菌药物使用强度趋于合理，限定日费用逐渐下降。结论：对该院抗菌药物专项整治后Ⅰ类切口围术期抗菌药应用情况取得了较为显著效果，整体用药合理性提升，医疗费用降低，但仍需进一步加大用药的监管力度，促进规范用药。
목적：평개혜주시중의의원（이하간칭“아원”）항균약물전항정치후Ⅰ류절구수술예방성항균약물응용정황，관찰정치성효。방법：수궤추사출아원2012—2014년련속3년Ⅰ류절구수술병력공582빈，대기예방성항균약물적응용정황진행비교분석。결과：Ⅰ류절구수술항균약물사용솔현저하강，약물선택、연합용약、급약시궤급약물사용료정등정황출현호전추세，약물이용지수화항균약물사용강도추우합리，한정일비용축점하강。결론：대해원항균약물전항정치후Ⅰ류절구위술기항균약응용정황취득료교위현저효과，정체용약합이성제승，의료비용강저，단잉수진일보가대용약적감관력도，촉진규범용약。
OBJECTIVE:To evaluate the prophylactic application of antibiotics for patients with type I incision operation during perioperation after special rectification in Huizhou Hospital of Traditional Chinese Medicine ( hereinafter referred to as “our hospital”) , and to inspect the achievements of the special rectification .METHODS:582 medical records with type I incision operation from 2011 to 2014 were selected randomly from our hospital , the prophylactic application of antibiotics were compared and analyzed .RESULTS: The application rate of antibiotics in type I incision operation decreased significantly;the selection of drugs , drug combination , administration occasion and course of drug use all showed the improving trend .The application density of antibiotics and application index of drugs were becoming more and more rational , defined daily cost decreased by degrees .CONCLUSIONS: After the special rectification , the application of antibiotics in type I incision operation have achieved a significant result , the rationality of overall administration has been improved and the medical costs has been decreased , but it is still necessary to further strengthen the supervision of administration so as to promote the standard administration .