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目的:寻找广州市妇婴医院剖宫产产妇术后预防性使用抗菌药物的最佳疗程。方法:采用回顾性研究,收集和整理该院2006年6月至2007年5月493例剖宫产产妇相关资料,利用成本-效果分析方法对剖宫产产妇术后预防性使用抗菌药的不同疗程进行分析。结果:剖宫产产妇预防性使用抗菌药的疗程A组((d<3)天)、B组((3≤d<4)天)、C组((4≤d<5)天)、D组((d≥5)天)的有效率分别为:66.67%、85.12%、89.5%、85.19%;以抗菌药费用作为成本计算的成本-效果比分别为:9.21、7.22、8.62、14.32;以西药费作为成本计算的成本-效果比分别为:13.92、15.29、16.89、21.89;以住院费作为成本计算的成本-效果比分别为:61.15、67.09、66.78、79.96。结论:剖宫产产妇术后预防性使用抗菌药物,最经济、有效、合理的使用时间为术后3天(B组),增加用药天数并不能增加治疗效果,而费用却明显增加。
Objective: To find the best course of prophylactic use of antimicrobial agents after maternal cesarean section in Guangzhou Maternal and Child Hospital. Methods: A retrospective study was conducted to collect and compile 493 cesarean section maternity-related data from June 2006 to May 2007 in this hospital. Cost-effectiveness analysis was used to analyze the effect of prophylactic antibiotics after cesarean section Treatment analysis. Results: The courses of prophylactic use of antibacterials for cesarean section in group A ((d <3) days), group B ((3≤d <4) days), group C The effective rates of group D (d≥5) days were 66.67%, 85.12%, 89.5% and 85.19%, respectively. The cost-effectiveness ratios of cost of antimicrobial drug were 9.21, 7.22, 8.62 and 14.32 ; Cost of western medicine as a cost-cost-effect ratio were: 13.92,15.29,16.89,21.89; cost of hospitalization as a cost-effective cost-effectiveness were: 61.15,67.09,66.78,79.96. Conclusion: The most economical, effective and rational use of antimicrobial agents after cesarean section is 3 days after operation (group B). Increasing the number of days does not increase the therapeutic effect, but the cost is obviously increased.