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目的探讨三级甲等医院妇产科围手术期患者抗菌药物的应用时间,评估抗菌药物的合理应用状况。方法随机抽取天津市某三级甲等医院2010年6月-2011年6月妇产科围手术期患者300例,采用SPSS 16.0软件进行抗菌药物应用时间统计分析。结果Ⅰ类切口患者51例,Ⅱ类切口患者249例,抗菌药物应用率为100%,用药时间为(6.7±2.9)d,61例患者用药时间分布不恰当,其中21.31%(13/61)的患者术前未用药,19.67%(12/61)的患者术前用药大于2 h;14.75%(9/61)患者手术时间超过3 h,但术中无追加用药。结论需加强该三级甲等医院妇产科手术患者抗菌药物应用时间的管理。
Objective To investigate the application time of antimicrobial agents in the perioperative period of the obstetrics and gynecology department of Grade A Hospital, and to evaluate the rational application of antimicrobial agents. Methods 300 cases of perioperative patients in a tertiary level hospital in Tianjin from June 2010 to June 2011 were randomly selected. SPSS 16.0 software was used to analyze the time of antibacterials application. Results There were 51 cases of type Ⅰ incision and 249 cases of type Ⅱ incision. The antibacterial drug application rate was 100% and the duration of medication was (6.7 ± 2.9) d. The distribution of medication time in 61 patients was inappropriate, of which 21.31% (13/61) 19.67% (12/61) of the patients preoperative medication more than 2 h; 14.75% (9/61) of the patients surgery time more than 3 h, but no additional medication during surgery. Conclusion It is necessary to strengthen the administration of antibacterials in obstetrics and gynecology patients in the three first class hospitals.