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目的分析研究Ⅰ类切口手术采取目标性监测的临床应用价值。方法根据本院自行开发的目标性检测软件,采取乳腺、腹股沟疝以及甲状腺囊肿手术,从2011年起对手术切口感染率和采取抗菌药物合理性等相关临床指标采取目标性检测。结果到2013年11月,以上3种Ⅰ类切口手术部位的感染率没有变化,总体感染几率为0.67%。抗菌药物选择药物不符合率和服用时机不符合率差异无统计学意义(P>0.05);随着抗菌药物采用率,治疗过程以及联合使用药物指标明显改善,平均住院费用、西药费用以及明显下降。结论Ⅰ类切口手术采取目标性监测方法,对其围手术期科学采取抗菌药物和控制相关感染起到良好促进作用。
Objective To analyze the clinical value of targeted monitoring of type Ⅰ incision. Methods According to the targeted detection software developed by our hospital, we took the breast, inguinal hernia and thyroid cyst surgeries. From 2011, we took the targeted test on the surgical incision infection rate and the rational clinical use of antimicrobial agents. Results By November 2013, there was no change in the infection rate of the above three surgical incision sites, and the overall infection rate was 0.67%. There was no significant difference between the rate of non-compliance of antimicrobial drug selection and the timing of taking drug (P> 0.05). With the adoption rate of antimicrobial drugs, the course of treatment and the index of combination drugs significantly improved, the average cost of hospitalization, . Conclusion Ⅰ type of incision surgery to take the target of monitoring methods for its perioperative science to take antibacterial drugs and control related infections play a good role in promoting.