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目的了解阴道分娩产妇对会阴切口预防性应用抗菌药物的依从性,以期促进抗菌药物的合理使用。方法选择医院正常阴道分娩有会阴切口的产妇共2000例为研究对象,以问卷形式调查其在产后对应用抗菌药物的依从性,包括是否接受使用抗菌药物、选择药物的种类、用药途径、用药时间及用药费用等。结果产妇接受抗菌药物者1686例占84.3%,其中1258例占62.9%接受口服头孢类药物,404例占20.2%要求静脉用药,用药时间2～3d,80.0%不计较用药费用;15.7%的产妇不接受抗菌药物,其中112例,占5.6%认为药物对哺乳有不良影响。结论产妇对会阴切口预防性应用抗菌药物的依从性方面存在误区,需要开展有效的合理用药宣传教育,合理使用抗菌药物,避免不必要的医疗开支。
Objective To understand the compliance of vaginal delivery mothers with prophylactic use of antimicrobial agents for perineal incision in order to promote the rational use of antimicrobial agents. Methods A total of 2000 maternal women with normal perineal incision in the hospital were enrolled in this study. Their compliance with antibacterials was investigated by post-natal questionnaire, including whether they were antibacterials, the type of drug, the route of administration, the duration of medication And medication costs. Results 1686 women received antibiotics, accounting for 84.3%. Among them, 1258 received 62.9% oral cephalosporins and 404 patients accounted for 20.2% of them required intravenous medication. The medication time was 2 to 3 days and 80.0% did not care about the cost of medication. 15.7% Do not accept antibiotics, of which 112 cases, accounting for 5.6% that the drug has an adverse effect on breastfeeding. Conclusion Maternal errors in applying preventive prophylaxis of perineal incision have some misunderstandings. It is necessary to carry out effective publicity and education on rational drug use, rational use of antimicrobial agents and avoid unnecessary medical expenses.