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目的调查我院妇科腹腔镜Ⅰ类切口手术围术期抗菌药物的应用情况,探讨临床药师在其中的药学监护作用。方法我院2010年1～12月行妇科腹腔镜手术的153例出院病历,对抗菌药物种类、用法用量、用药时间等进行分析统计。结果 153例中预防性应用抗菌药物的使用率为100%。抗菌药物中应用最多的是头孢二代,其次为头孢一代,术后应用抗菌药物时间长。结论我院妇科腹腔镜手术围术期抗菌药物预防性应用率高,存在不合理应用现象,通过药学监护促进临床合理用药。
Objective To investigate the application of perioperative antibacterials in gynecologic laparoscopic class Ⅰ incision in our hospital and to explore the role of clinical pharmacists in their pharmacological protection. Methods From January to December 2010, 153 cases of gynecological laparoscopic gynecological laparoscopic surgery were discharged, the types of antimicrobial drugs, usage and dosage, medication time analysis and statistics. Results The use of prophylactic antimicrobials in 153 cases was 100%. Antimicrobials are the most widely used second generation of cephalosporins, followed by cephalosporin generation, the application of antibacterial drugs for a long time. Conclusion Our hospital gynecological laparoscopic perioperative antimicrobial prophylactic use rate is high, there is an irrational application of the phenomenon, through clinical monitoring to promote rational drug use.