47例剖宫产围手术期抗菌药物使用调查分析  

47 cases of prophylactic antibiotics application during perioperative period of cesarean

作　　者：王飞[1] 俞建[1] 严伟[1] 

机构地区：[1]杭州市第一人民医院药剂科,浙江杭州310006

出　　处：《中华医院感染学杂志》2011年第4期763-765,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解剖宫产围手术期抗菌药物使用现状,提高临床合理用药水平。方法采用回顾性调查方法,随机抽取2010年1月产科剖宫产手术出院患者47例,对剖宫产围手术期用药品种及频度、用药时间、联合用药等情况进行分析。结果 47例剖宫产全部使用抗菌药物,使用频度最高的药物为奥硝唑、头孢米诺和拉氧头孢,68.09%的患者用药时间为3 d,97.9%的患者二联用药,头孢米诺和拉氧头孢药物利用指数(DUI)>1。结论剖宫产围手术期抗菌药物应用基本合理,但部分药物的使用尚需进一步规范。OBJECTIVE To investigate and analyze the application of prophylactic antibiotics during cesarean perioperative period in hospital so as to provfde a further guidance for rational drug use. METHODS Case history of 47 cesarean section cases were randomly retrieved, whose data concerning drug categories, duration of medication, drug combination, etc, were analysed. RESULTS All of the 47 cases were given the antibacterial drugs in perioperative period, the first three kinds were ornidazole, cefminox sodium, latamoxef sodium. 68.09% of cases were treated for three days. The rate of antibiotics combination using was 97. 9%. cefminox sodium, latamoxef sodium use indexs （DUD were 〉1. CONCLUSION The application of prophylactic antibiotics during cesarean perioperative period is relatively reasonable and the irrational drug usage should be avoided.

关 键 词：剖宫产手术 围手术期 抗菌药物 合理用药 

分 类 号：R978.1[医药卫生—药品]