妇科围手术期抗菌药使用调查  

Investigation on Perioperative Antibacterial Drug Use in Gynecological Surgery

作　　者：陈德成[1] 王丽[1] 

机构地区：[1]珠海市妇幼保健院,广东珠海519000

出　　处：《药物流行病学杂志》2010年第3期155-157,共3页Chinese Journal of Pharmacoepidemiology

摘　　要：目的:了解我院妇科围手术期预防应用抗菌药现状,为临床合理用药提供依据。方法:采用病历回顾性研究方法,随机抽取我院2008年4月～2009年4月妇科手术病例165例,统计预防应用抗菌药情况。结果:全部手术患者均使用抗菌药,抗菌药二联用药率100%,使用频率最高的是头孢替唑钠与甲硝唑联用,65.5%在术前0.5～2h内用药,23.6%术前未使用抗菌药,抗菌药平均用药疗程为5.87d。结论:妇科围手术期预防应用抗菌药存在不合理现象,临床医生应遵循《抗菌药物临床应用指导原则》,合理使用抗菌药。Objective ： To investigate the actuality use of antimicrobial in patients of gynecology surgery during perioperative period, and provide basis for rational use of drugs in clinical work. Method： Used retrospective research, randomly drawn 165 cases from 2008 April to 2009 April. Resuhs have been analyzed by SPSS （version 11.5 ）. Result： All cases were given two antimicrobials, and the highest rate use of combined antimicrobials were ceftezole sodium and metronidazole, 65. 5% cases were given antibacterials within 0.5-2h before surgery, 23.6% cases were not given antibacterials before surgery, the average course of treatment was 5.87d. Conclusion： There is irrational prophylactic use of in patients of gynecology surgery during perioperative period in this hospital, Clinicians should use antibacterial reasonably according to the Guiding principles for clinical application of antibacterial.

关 键 词：妇科手术 围手术期 抗菌药 合理用药 

分 类 号：R978.1[医药卫生—药品]