妇科Ⅰ类切口手术围手术期预防性抗菌药物应用的综合干预管理有效性分析  

Analysis on the effectiveness of comprehensive intervention and management by prophylactic application of antibiotics for gynecological type Ⅰincision surgery during perioperative period

作　　者：李春梅[1] 郭文俊[1] 张伶俐[1] 梁宝权[1] 陈力[1] 

机构地区：[1]四川大学华西第二医院,四川成都610041

出　　处：《中国妇幼保健》2012年第9期1297-1299,共3页Maternal and Child Health Care of China

摘　　要：目的:对妇科Ⅰ类切口手术的预防性抗菌药物使用进行综合干预管理的效果分析。方法:选取2011年6月(综合干预前)和2011年8月(综合干预后)的妇科Ⅰ类切口手术病例,分析比较干预前、后抗菌药物使用情况的变化和干预效果。结果:干预后8月份Ⅰ类切口手术抗菌药物预防性使用率从干预前6月份的54.81%下降至20.58%,抗菌药物合理使用率从6月份的33.65%上升到8月份的77.49%,抗菌药物人均用药天数、人均西药费均低于干预前水平。结论:对抗菌药物使用中存在的不合理因素,通过规范细化手术切口分类基础上的综合干预措施对妇科Ⅰ类切口手术抗菌药物的合理应用是有效可行的。Objective:To analyze the efficacy of comprehensive intervention and management by prophylactic application of antibiotics for gynecological type Ⅰincision surgery.Methods:The cases undergoing gynecological type Ⅰincision surgery in June 2011(before comprehensive intervention) and August 2011(after comprehensive intervention) were selected,the using conditions of antibiotics before and after intervention and the efficacy were analyzed and compared.Results:The rate of prophylactic application of antibiotics for gynecological type Ⅰincision surgery decreased from 54.81% before intervention to 20.58% after intervention,the reasonable using rate of antibiotics increased from 33.65% in June to 77.49% in August.The per capita application time of antibiotics and the per capita fee for Western medicine after intervention were lower than those before intervention.Conclusion:Comprehensive interventional measure by prophylactic application of antibiotics based on normalizing and detailing the classification of surgical incision is effective and feasible for gynecological type Ⅰincision surgery.

关 键 词：妇科Ⅰ类切口手术 围手术期 抗菌药物 干预 

分 类 号：R713[医药卫生—妇产科学]