3种单病种Ⅰ类切口围手术期用药调查分析  

Analysis of the Utilization of Perioperative Prophylactic Antibiotics for Type Ⅰ Incision Operation of Three Kinds of Single Disease Patients

作　　者：周述香[1] 曾玲[1] 程钢[1] 

机构地区：[1]常德市第一人民医院,湖南常德415003

出　　处：《中国药师》2010年第10期1489-1490,共2页China Pharmacist

摘　　要：目的:了解Ⅰ类切口围手术期预防应用抗菌药现状,评价其合理性。方法:抽取某院2009年7～9月出院的3种单病种(甲状腺次全切术、乳腺手术、腹股沟疝修补术)Ⅰ类切口手术病历共165份,并对手术前后使用抗菌药的情况用Excel表进行统计分析。结果:某医院抗菌药使用共21种,以档次高、价格贵最常见,存在术后预防用抗菌药普遍,术前用药时间过早,术后用药时间过长、广谱抗菌药选用频率过高等不规范现象。结论:Ⅰ类切口围手术期患者不合理预防应用抗菌药物现象普遍存在,应引起高度重视,并加强监督管理。Objective： To investigate the status quo and evaluate the rationality on perioperative antibiotic prophylaxis in patients undergoing type Ⅰ incision operation. Method： The retrospective study was used ,the medical cases of total 165 patients of three kinds of single diseases （subtotal resection of thyroid, breast surgery and inguinal hernia repair） discharged form hospital from July to September in 2009 were randomly selected, and the condition of application of antibiotics in perioperation period was statistically analyzed by Excel software. Result： A total of 21 kinds of antibiotics agents were used and the application of antibiotics was characterized by expensive, extensive indication, high starting port in drug choice, inappropriate medical time prior to surgery, prolonged administration after operation and high frequency of use of broad-spectrum antibiotic agents. Conclusion： The rate of irrational antibiotic usage Is high in type Ⅰ incision surgery during perioperative period. This situation should be paid close attention to and the supervision of using antibiotics in perioperative period must be reinforced.

关 键 词：Ⅰ类切口 围手术期 合理用药 

分 类 号：R978.1[医药卫生—药品]