内固定取出术围手术期是否预防使用抗菌药物对比研究  

Comparative study of whether or not use of antimicrobial agents in removal surgery for internal fixation in peri-operative period

作　　者：史艳光 郭秀芳[2] 吴飞雁[1] 岳思阳[1] 

机构地区：[1]四川省彭州市人民医院骨科,611930 [2]四川省彭州市人民医院医务科,611930

出　　处：《淮海医药》2013年第2期97-98,共2页Journal of Huaihai Medicine

摘　　要：目的探讨骨科内固定取出术围术期是否预防性使用抗菌药物对切口感染情况的影响,为制订管理措施提供依据。方法采用回顾性分析方法,将我院骨科2009年1～6月及2012年1～6月行内固定取出术患者按出院时间分为A、B 2组,调查2组患者围术期抗菌药物应用情况、切口感染情况及住院天数。结果 2009年1～6月出院100%预防应用抗菌药物病例(A组),与2012年1～6月出院未预防用抗菌药物病例(B组)切口感染情况比较,差异无显著性(P>0.05);平均住院天数:A组7.14 d,B组5.06 d,2组比较,差异有显著性(P<0.05)。结论在强化院感管理的基础上,骨科内固定取出术可以不预防使用抗菌药物。Objective To investigate the impact of incision infection by whether or not use of antimicrobial agents during peri-operative period in removal surgery for internal fixation in order to provide the basis for formulating the management measures of antibiotic rational use.Methods Retrospective analysis was conducted.Patients who had undergone removal surgery for internal fixation in our hospital between January and June 2009 and between January and June 2012 were divided into two groups（A,B）,and the two groups＇ use of antimicrobial agents,incision infection and days of hospitalization were surveyed.Results There was no difference in incision infection between the discharged patients with 100% use of antimicrobial agents between January and June 2009 and those with 0% use of antimicrobial agents between January and June 2012.The mean hospitalization for the two groups were 7.14d（groups A）and 5.06d（groups B）respectively.There was no significant difference between the two grpups（P〈0.05）.Conclusion For the sake of strengthening the management of hospital infection,removal surgery for internal fixation can be exempted from using antimicrobial agents during peri-operative period

关 键 词：内固定取出术 围手术期 抗菌药物 合理用药 

分 类 号：R969.3[医药卫生—药理学]