CAJ | 학술논문

目的监测和评价我院Ⅰ类切口手术病历预防用药的现状，为我院持续改进、合理用药工作提供参考信息。方法抽取我院2012年第三季度（7-9月份）Ⅰ类切口{腹股沟疝修补术（包括补片修补术）、甲状腺疾病手术、乳腺疾病手术、冠状动脉造影术，脑动脉造影术}499份病历。依据《抗菌药物临床应用指导原则》、《卫生部办公厅关于抗菌药物临床应用管理有关问题的通知》等相关规定，对抗菌药物预防用药情况逐份进行点评。结果我院清洁手术预防用抗菌药物使用率27.61%；介入诊断预防用抗菌药物使用率1.28%；清洁手术预防用抗菌药物用药时机合理率92.43%；清洁手术预防用抗菌药物品种选择合率92.33%；清洁手术预防用抗菌药物使用疗程<24h占91.42%；清洁手术预防用抗菌药物联合用药0.2%。结论通过Ⅰ类切口手术病历点评，提高了临床医师合理用药水平，特别是提高抗菌药物的合理应用水平，为提高医院医疗质量提供了基础，延缓细菌耐药性的产生提供积极的作用。
목적감측화평개아원Ⅰ류절구수술병력예방용약적현상，위아원지속개진、합리용약공작제공삼고신식。방법추취아원2012년제삼계도（7-9월빈）Ⅰ류절구{복고구산수보술（포괄보편수보술）、갑상선질병수술、유선질병수술、관상동맥조영술，뇌동맥조영술}499빈병력。의거《항균약물림상응용지도원칙》、《위생부판공청관우항균약물림상응용관리유관문제적통지》등상관규정，대항균약물예방용약정황축빈진행점평。결과아원청길수술예방용항균약물사용솔27.61%；개입진단예방용항균약물사용솔1.28%；청길수술예방용항균약물용약시궤합리솔92.43%；청길수술예방용항균약물품충선택합솔92.33%；청길수술예방용항균약물사용료정<24h점91.42%；청길수술예방용항균약물연합용약0.2%。결론통과Ⅰ류절구수술병력점평，제고료림상의사합리용약수평，특별시제고항균약물적합리응용수평，위제고의원의료질량제공료기출，연완세균내약성적산생제공적겁적작용。
Objective: Monitoring and evaluating the status of TypeⅠincision surgery medical records prophylaxis in our hospital, in order to make continuous improvement for our hospital and rational use of drugs to provide reference information. Method: Extract the third quarter of 2012, (July ?? September) the Ⅰ class incision 499 medical records in our hospital {inguinal hernia repair (including patch repair), thyroid disease surgery, breast disease surgery, coronary angiography, cerebral artery angiography} as samples. Based on the clinical use of antibiotics guiding principles, "the General Office of the Ministry of Health on the issues related to the clinical use of antibiotics management notice", we make collate reviews on provisions of antimicrobial prophylaxis medication. Results: The rate of utilization of clean surgical prophylaxis with antibiotics is 27.61%; the utilization ratio of interventional diagnosis preventive antibiotics is 1.28%;while the reasonable rate of clean surgical preventive antimicrobial medication timing is 92.43%; the aggregate rate of clean surgical prevention of antimicrobial varieties selecting is 92.33%; clean surgical prophylaxis use treatment with an antibacterial drug <24h accounting for 91.42%; and clean surgical prevention with an antibacterial drug combination therapy is 0.2% in our hospital. Conclusion: Commenting on Type Ⅰ incision surgery medical, clinicians level of rational drug are used more reasonable, especially improve antimicrobial reasonable application, therefore, they provide the foundation of improving the quality of hospital medical and delay the occurrence of bacterial resistance to provide a positive role.