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目的调查医院剖宫产围术期预防用药应用情况,为临床提供参考,促进合理用药。方法根据《卫生部办公厅关于继续深入开展全国抗菌药物临床应用专项整治活动的通知》和《2012年江苏省抗菌药物临床应用专项整治活动实施方案》要求,对医院2012年度的280例剖宫产手术患者病历数据进行统计分析。结果患者围术期预防应用抗菌药物比例为100.0%;预防用药开始时间:术前2h内5例(1.8%),术中结扎系带后120例(42.9%),术后24h内给药155例(55.3%)。结论医院剖宫产围术期预防应用抗菌药物较为合理,但依然存在选药不当、联合用药、过度用药等问题,仍需加强监督整改,使抗菌药物应用趋于规范。
Objective To investigate the perioperative prophylaxis of caesarean section in hospitals and to provide reference for clinical practice and to promote rational drug use. Methods According to the requirements of the General Office of the Ministry of Health about continuing to carry out the special rectification activities of clinical application of antimicrobial agents and the implementation plan of special rectification activities of antimicrobial agents in Jiangsu Province in 2012, 280 cases of cesarean section Surgical patients medical records for statistical analysis. Results The proportion of prophylactic use of antibiotics in perioperative period was 100.0%. The prophylactic time to start of treatment was 5 cases (1.8%) within 2h before operation, 120 cases (42.9%) after laparotomy during operation, 155 Example (55.3%). Conclusions The cesarean section in the hospital should be used prophylactically to prevent and treat antibacterials during cesarean section. However, there are still some problems such as improper drug selection, combination therapy and overdosing. The supervision and rectification should be strengthened so that the application of antibacterials tends to be standardized.