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目的:分析天佑医院清洁手术患者病历中抗菌药物的使用情况。方法:抽取该院2013年1—12月间清洁手术患者病历1 33 6例,依据相关标准进行统计分析。结果:1 336例清洁手术患者抗菌药物平均使用率为49.85%(666例),用药时机合理率为80.92%,选择品种合理率为25.46%,平均使用疗程为(6.85±1.13)d。结论:围手术期抗菌药物预防性使用存在不合理现象、抗菌药物使用率较高、临床选药不合理以及术后用药时间过长等问题,医院应加强对抗菌药物使用的管理力度,确保抗菌药物在临床的合理使用。
OBJECTIVE: To analyze the use of antibacterials in medical records of patients in Tianyou Hospital during clean operation. Methods: 1 336 cases of patients undergoing clean operation between January and December in 2013 in our hospital were collected and statistically analyzed according to relevant standards. Results: The average usage rate of antimicrobials was 49.85% (666 cases) in 1 336 cases of patients undergoing clean operation. The reasonable timing of medication was 80.92%. The reasonable rate of selection was 25.46%. The mean duration of treatment was (6.85 ± 1.13) days. Conclusions: There are unreasonable prophylactic use of antimicrobial agents during perioperative period, high antibacterial drug usage, unreasonable clinical drug selection and long postoperative medication time. The hospital should strengthen its management over the use of antibacterial drugs to ensure that antibacterials Rational use of drugs in the clinic.