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目的了解我院剖宫产围术期应用抗菌药物情况,旨在为临床合理用药提供依据。方法采用回顾性调查方法,对我院2010年6月至2010年11月207例剖宫产患者应用抗菌药物的情况进行统计、分析。结果 207例剖宫产患者围术期抗菌药物应用率为100%,给药途径均采用静脉滴注,疗程3～8d,抗菌药物应用频率最高的是头孢替安,单用抗菌药物31例(14.97%);二联176例,术前给药2例,占0.97%,术后100%用药。结论我院剖宫产患者围术期抗菌药物预防应用存在不合理之处,主要表现在药物的选择、给药时机不当及用药时间过长,应按围术期抗菌药物应用原则加以干预。
Objective To understand the application of antimicrobial agents during cesarean section perioperative period in our hospital, aiming to provide the basis for clinical rational drug use. Methods A retrospective survey was conducted to analyze the data of 207 cases of cesarean section in our hospital from June 2010 to November 2010 with antibacterials. Results 207 cases of cesarean section in patients with perioperative antibacterial drug application rate of 100%, the route of administration are used intravenous drip, the course of 3 ~ 8d, the highest frequency of antibacterials is cefotiam, single antibacterials in 31 cases ( 14.97%); two cases of 176 cases, preoperative medication in 2 cases, accounting for 0.97%, 100% postoperative medication. Conclusion The cesarean section in our hospital during perioperative prevention and treatment of antimicrobial drugs there are unreasonable, mainly in the choice of drugs, improper timing of administration and medication for a long time, should be perioperative antibacterial drug use principles to intervene.