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目的:调查某院住院患者注射用头孢美唑钠(CMZ)使用情况,为临床合理用药提供参考。方法:回顾性随机抽查某院2014年1~6月住院患者611份使用CMZ的住院病历,对其使用频度(DDDs)排序、用药适应证、用法用量、用药疗程等进行统计分析。结果:CMZ在抗菌药中DDDs排序第5位;611例患者中,内科、儿科预防用药33例,治疗用药310例,外科围手术期用药268例;用药适应证合理率为71.19%,用法用量合理率为52.04%,用药疗程合理率为64.97%。结论:临床使用CMZ存在严重不合理的情况,应加强其规范使用的管理。
Objective: To investigate the use of cefmetazole sodium (CMZ) for inpatients in a hospital for reference for rational clinical use. Methods: A retrospective randomized a hospital from January to June 2014, 611 inpatients with CMZ inpatient medical records, the use of frequency (DDDs) sort, medication indications, usage dosage, medication course for statistical analysis. RESULTS: CMD was the fifth most frequently used DDDs in antibacterials. Among the 611 patients, 33 cases were used as medical and pediatric prophylaxis, 310 cases were treated by surgery and 268 cases were perioperatively treated by surgery. The reasonable rate of medication indications was 71.19% The reasonable rate was 52.04%. The reasonable rate of medication was 64.97%. Conclusion: There is a serious unreasonable situation in the clinical use of CMZ, and the management of its standardized use should be strengthened.