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目的:探讨加强妇产科患者在围术期内抗生素的合理使用的管理措施,为患者提供最好的医疗保障。方法:对2015年(104例)和2016年(104例)在余姚市第二人民医院妇产科治疗的围术期患者的抗菌用药情况进行回顾性分析,通过比较患者住院时间、住院费用、抗菌应用强度等指标,比较分析2015年抗生素一般化管理与2016年强化管理后的用药差异。结果:通过强化管理后,2016年组患者的住院时间明显缩短、费用有所减少,抗生素使用日强度(DDD)也显著降低,与2015年组比较差异较为显著(P<0.05)。结论:对妇产科围术期患者抗生素实施有效管理和合理应用,可有效减少患者医疗负担,提高医疗质量。
OBJECTIVE: To explore management measures to enhance the rational use of antibiotics in obstetrics and gynecology patients and provide the best medical insurance for patients. Methods: A retrospective analysis was conducted on the antibacterial drug use in perioperative patients treated by gynecology and obstetrics in the Second People’s Hospital of Yuyao City in 2015 (104 cases) and 2016 (104 cases). By comparing the hospitalization time, hospitalization expenses, Antibacterial application strength and other indicators, a comparative analysis of the general antibiotic management in 2015 and 2016 after the difference between the use of intensive management. Results: After intensive management, the hospitalization time in 2016 group was significantly shortened, the cost was reduced, and the DDD of antibiotics was also significantly decreased, which was significantly different from that of 2015 group (P <0.05). Conclusion: The effective management and reasonable application of antibiotics in perioperative patients in obstetrics and gynecology can effectively reduce the medical burden on patients and improve the quality of medical care.