摘要
目的:调查我院Ⅰ类切口手术围手术期抗菌药应用现状,探讨Ⅰ类切口手术围手术期抗菌药预防性使用的合理性。方法:抽取我院2011年1～6月Ⅰ类切口手术出院病例209例,依据卫生部相关规定从预防用药指征、选药情况、用药时机、总预防时间等方面进行分析。结果:Ⅰ类切口手术预防用药75例(35.89%);使用频最的药物品种为头孢菌素;术前0.5～2h给药者为64例(85.33%);联合使用两种抗菌药5例(6.67%)。结论:Ⅰ类切口手术预防使用抗菌药的使用率、适应证、给药时机情况较好,但抗菌药品种选择、联合用药、使用疗程方面仍需改进。
Objective： To investigate the application status of antibiotics in perioperative period of type I incision in the general surgery department and evaluate the rationality of antibiotic prophylaxis. Method： Totally 209 medical records of the general surgical patients with type I incision operation were randomly withdrawn during January to June in the year of 2011 and retrospective analysis was performed concerning preventive medication indication, choice of categories, application time and total preventive medication time according to the Ministry of Health regulations. Result： Seventy-five patients （35.89%） received antibiotic prophylaxis. The most- used antibiotics was eephalosporins. Sixty-four patients （ 85.33% ） received antibiotics in 0.5-2h before operation. Five patients （6.67%） were treated with drug combination. Conclusion： The application frequency,the perioperative medication time and indica- tions in the general surgical patients with type I incision operation in our hospital are rational, however, the choice of categories and total preventive medication time still need improvement.
出处
《中国药师》
CAS
2013年第2期278-280,共3页
China Pharmacist
关键词
Ⅰ类切口
抗菌药
围手术期
Type I incision
Antibiotics
Periopcrative period
