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目的了解某院产科围手术期抗菌药物临床应用情况,评价合理性,为临床用药提供参考。方法随机抽取2012年6-12月某院产科围手术期病例370份,对抗菌药物预防使用率、会阴侧切术后使用率、断脐后未预防用药率、药物选择、药物利用指数、药物联合、药物应用疗程进行统计分析。结果抗菌药物使用率71.62%,会阴侧切术用药比例10%,断脐后未用药比例19.93%,药物选择以头孢唑啉为主占76.98%,药物利用指数头孢唑啉、奥硝唑>1、药物联合率低二联占10.94%,应用疗程大于48h比例52.83%。结论应继续加强产科围手术期抗菌药物监管,规范某院产科抗菌药物临床合理使用水平。
Objective To understand the clinical application of perioperative antibacterials in obstetrics and gynecology in a hospital and evaluate its rationality and provide a reference for clinical use. Methods 370 cases of perioperative perioperative period in a hospital from June to December in 2012 were randomly selected. The rates of antimicrobial prophylaxis, postoperative episiotomy, non-prophylactic dosage, drug selection, drug use index, drug combination , Medication application course of statistical analysis. Results The antibacterial usage rate was 71.62%, the percentage of perineal excision operation was 10%, the percentage of unused drug after the umbilicus was 19.93%, and the main drug selection was cefazolin 76.98%. The drug use index cefazolin and ornidazole> 1, Medication combined rate of two low accounted for 10.94%, the application of treatment more than 48h ratio of 52.83%. Conclusion The supervision of perioperative antibiotics in obstetrics should be strengthened and the clinical rational use of obstetric antibiotics should be standardized.