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目的:调查我院剖宫产患者围手术期抗菌药使用情况,为抗菌药的合理应用提供参考。方法:采用回顾性方法,对我院2009年6月～2010年5月480名剖宫产患者围手术期抗菌药使用情况进行调查。结果:480例患者100%使用抗菌药,抗菌药联合使用率为7.08%,预防用药均于术前30min给药;大部分抗菌药的药物利用指数≤1;术后感染率为0.83%;107例胎膜早破孕产妇宫颈分泌物病原菌阳性率42.06%。结论:我院剖宫产患者围手术期抗菌药的使用还存在一些不合理现象,应进一步加强围手术期抗菌药管理,促进其合理使用。
Objective: To investigate the use of antibacterials during cesarean section in our hospital during perioperative period, so as to provide a reference for rational use of antibacterials. Methods: A retrospective analysis of our hospital from June 2009 to May 2010 480 cesarean section in patients with perioperative antibacterials were investigated. Results: The antibacterials were used in 100% of the 480 patients and the combined use of antibacterials was 7.08%. The prophylactic agents were administered 30 min before the operation. The drug use index of most antibacterials was less than 1, and the postoperative infection rate was 0.83%. Cases of premature rupture of membranes of maternal cervical secretions positive rate of 42.06%. Conclusion: There are some unreasonable use of perioperative antibacterials in cesarean section in our hospital. We should further strengthen the management of perioperative antibacterials to promote their rational use.