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目的:分析乳腺和甲状腺清洁手术预防性使用抗菌药物的情况。方法:采用回顾性分析法,选取2010年1月—2014年1月间诊疗的100例乳腺和甲状腺清洁手术患者作为研究对象,分析患者抗菌药物的使用情况。结果:100例患者中预防性使用抗菌药物31例(占31.00%),均符合抗菌药物用药指证;乳腺手术患者术前2 h用药为9例手术后7 h内加用抗菌药物者11例;甲状腺手术患者术前2 h内均用药者20例,术后24 h内停药为7例;11例乳腺手术患者使用的药物主要为奥硝唑、培氟沙星、头孢替安、头孢三嗪。结论:临床使用抗菌药物应该遵循合理用药的原则,不可滥用,以避免耐药性增长和不必要的医源性浪费。
Objective: To analyze the prophylactic use of antibacterials in breast and thyroid surgery. Methods: A retrospective analysis method was used to select 100 cases of patients with breast and thyroid cleansing surgery between January 2010 and January 2014 as the research object, and to analyze the use of antibiotics in patients. Results: 31 cases (31.00%) of prophylactic antibiotics were used in 100 cases, all of them were in accordance with the antimicrobial drug indications. In the breast surgery patients, 9 cases were treated with antimicrobial drugs within 2 hours after operation, Twenty patients underwent thyroid surgery within 2 h before surgery and 7 patients within 24 h after surgery. The drugs used in 11 patients undergoing breast surgery included ornidazole, pefloxacin, cefotiam, cefotaxime Oxazine. Conclusion: The clinical use of antimicrobial agents should follow the principle of rational drug use and should not be abused to avoid the growth of drug resistance and unnecessary medical waste.