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目的分析医院Ⅰ类切口手术围术期预防性应用抗菌药物使用情况,为临床加强围术期合理用药提供参考。方法随机抽取2013年6~12月Ⅰ类切口手术病历150例(对照组),2014年6~12月Ⅰ类切口手术病历150例(干预组),对2组预防用抗菌药物的合理性进行统计分析。结果干预组150例患者中有72例患者预防应用抗菌药,总预防应用率由92%下降至48%;药物选择合理率由46.38%上升至90.28%;用药疗程合理率由37.68%上升至87.50%。结论整治后该院的Ⅰ类切口手术预防用药取得了一定成效,但仍存在用药时机不准确、药物品种选择欠妥等情况,需进一步规范抗菌药物的使用。
Objective To analyze the prophylactic use of antibacterials during the perioperative period in type Ⅰ incision in hospitals and provide reference for clinical use in enhancing perioperative rational drug use. Methods A total of 150 cases (control group) of type Ⅰ surgical incision from June to December 2013 and 150 cases of surgical incision Ⅰ incision (intervention group) from June to December 2014 were randomly selected. The rationality of prophylactic antibiotics was evaluated Statistical Analysis. Results Among the 150 patients in the intervention group, 72 patients were prevented from using antimicrobial agents, the total prophylaxis rate decreased from 92% to 48%, the reasonable rate of drug selection increased from 46.38% to 90.28%, and the reasonable rate of medication course increased from 37.68% to 87.50 %. Conclusion After the rehabilitate, the hospital Ⅰ type incision surgery preventive medication has achieved some success, but there are still cases of inaccurate medication timing, drug product selection is not properly, etc., the need to further standardize the use of antimicrobial agents.