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目的:探讨对妇科围术期患者使用抗菌药物治疗的合理时间,为加强临床合理用药提供参考。方法:在永嘉县中医院妇科中随机抽取200例妇科围术期患者的临床资料,对其使用抗菌药物治疗的时间进行分析。结果:在200例妇科围术期患者中包括43例Ⅰ类切口患者和157例Ⅱ类切口患者,其甲级愈合分别为97.67%、97.45%;所有患者围术期中均使用抗菌药物治疗,抗菌药物使用前三名为头孢呋辛、头孢唑肟、头孢西丁,其应用率依次为30.50%、27.50%、25.00%;患者用药时间为1~15天,平均(7.34±2.23)天;抗菌药物应用时间不合理性为18.00%。结论:在永嘉县中医院妇科手术患者中仍存在抗菌药物使用时间不合理的现象,应对妇科手术临床上的抗菌药物使用时间加强管理,以提升抗菌药物使用的合理性,确保患者得到有效的抗菌药物治疗。
Objective: To explore the reasonable time for the use of antibacterials in gynecological perioperative patients and to provide reference for strengthening the rational clinical use of drugs. Methods: The clinical data of 200 gynecological perioperative patients in gynecology of Yongjia Hospital of Traditional Chinese Medicine were randomly selected, and the time of treatment with antibiotics was analyzed. Results: Of the 200 cases of gynecological perioperative patients, including 43 cases of type Ⅰ incision and 157 cases of type Ⅱ incision, the grade A healed were 97.67% and 97.45% respectively. All patients were treated with antibiotics during the perioperative period, The top three drugs for use were cefuroxime, ceftizoxime and cefoxitin, and their application rates were 30.50%, 27.50% and 25.00%, respectively. The patients took drugs for a period of 1 to 15 days with an average of (7.34 ± 2.23) days. The unreasonable drug application time was 18.00%. Conclusion: There is still an irrational use of antibacterial drugs in gynecological surgery patients in Yongjia Hospital of Traditional Chinese Medicine. It is necessary to strengthen the management of clinical antibacterial drugs in gynecological surgery so as to enhance the rationality of antibacterial drug use and ensure that patients have effective antibacterial medical treatement.