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目的分析成人腹股沟疝修补术围术期抗菌药物的使用情况。方法回顾性统计分析医院2012年6月-2016年6月进行腹股沟疝修复术的680例患者病历资料。依次记录并统计患者基本信息、手术信息、费用情况。结果 680例行腹股沟疝修补术中使用抗菌药物72例,抗菌药物使用率为10.6%,其中头孢菌素类药物使用率高达75%。用药时间<24 h 19例,占26.4%,>48 h 22例,占30.6%。二联及以上抗菌药物使用72.2%(52/72)。结论本院在腹股沟疝修复术中抗菌药物的使用中还存在着用药类型、联合用药过多、用药时间长等不合理之处,但对感染高危的患者而言,预防性使用抗菌药物有益于预防切口感染。因此,应加强抗菌药物使用的规范管理,合理使用抗菌药物。
Objective To analyze the perioperative use of antibacterials in adult inguinal hernia repair. Methods Retrospective statistical analysis of the hospital from June 2012 to June 2016 for inguinal hernia repair of 680 patients with medical records. Followed by recording and statistics of patients with basic information, surgical information, costs. Results In 680 cases of inguinal hernia repair using antimicrobial drugs in 72 cases, antibacterial drug use was 10.6%, of which cephalosporins drug use rate as high as 75%. Treatment time <24 h in 19 cases, accounting for 26.4%,> 48 h in 22 cases, accounting for 30.6%. 72.2% (52/72) of the antibacterials used in combination with two or more antibiotics. Conclusion In our hospital, there are still some unreasonable use types of antimicrobials in the use of antibacterials for inguinal hernia repair, such as the type of drug combination, excessive drug combination, long time of drug treatment, etc. However, prophylactic use of antimicrobial drugs is beneficial for patients at high risk of infection Prevent incision infection. Therefore, we should strengthen the standard management of the use of antimicrobial agents, rational use of antimicrobial agents.