成都市10所医院348例腹股沟疝外科手术患者预防用抗生素药物的调查分析  

An Investigation of 348 Patients who have been Experienced the Operation of Oblique Inguinal Hernia and have Used Antibiotics Preventively in 10 Hospitals in Chengdu

作　　者：杨建南[1] 李世云[1] 尹代红[2] 庞宇[2] 辛珏[3] 张幼嘉[4] 刘勇华[5] 

机构地区：[1]四川省成都市成都铁路中心医院,成都市610081 [2]四川省成都市第三人民医院,成都市610031 [3]四川省成都市第九人民.妇产科医院 [4]四川省成都市第一人民医院 [5]四川省成都市卫生局计财处

出　　处：《中国病案》2007年第9期28-29,共2页Chinese Medical Record

基　　金：成都市卫生局科技项目:<成都市属医院医疗总费用与单病种费用研究>(成卫科技2004-14)

摘　　要：目的了解成都市医院腹股沟疝外科手术患者预防用抗生素药物现状,为加强医院管理,促进临床合理应用抗菌药物提供依据。方法采用分层随机抽样方法抽取成都市10家样本医院,并在样本医院中随机抽取2005年外科腹股沟疝手术病例348例,对围手术期预防用抗生素药物情况进行分析评价。结果围手术期预防用抗生素药物存在问题有:(1)初次给药时机不合适,无在麻醉诱导时初次用药者,且绝大多数为术后初次用药(91.95%)。(2)总的用药时间偏长,>48h者达95.98%。(3)不合理用药比例24.14%,选择用药的合理性有待提高。结论应将合理用药纳入医院考评标准和临床医师继续医学教育内容,建立健全临床药师制度,进一步规范临床用药行为。Objective To improve the clinical use and hospital management on the use of antibiotics by investigating the status of preventive use of antibiotics on patients who have undergone oblique inguinal hernia operations in the general hospitals of Chengdu city. Methods Total of 348 medical records of patients who have had an oblique inguinal hernia operation in 2005 in 10 hospitals were investigated on the prophylactic use of antibiotics sampied by using stratification random sampling method. Results The defects existed in the prophylactic use of antibiotics： （1） Inadequate time using antibiotics at the beginning majority （91.95 % ） was given antibiotics in post-operation, none in the anesthesia inductive phase. （2） Using period was too long, and 95.98 % of case were prescribed antibiotics for more than 48 hours. （3） The percentage of improper application of antibiotics was 24.14 %, rationally prophylactic use of antibiotics need to be improved. Conclusions We should bring the reasonable application of antibiotics into the standards of hospital examination and into the continuing education of clinical doctors to standardize the application of antibiotics further.

关 键 词：腹股沟疝 围手术期 预防性用药 抗生素药物 

分 类 号：R656.2[医药卫生—外科学] R95[医药卫生—临床医学]