某院Ⅰ类切口手术围术期预防性应用抗菌药物分析  

Perioperative Use of Prophylactic Antibiotics in Patients Undergoing Type Ⅰ Incision Operation in a Hospital

作　　者：杨鹏飞[1] 李毓忠[2] 成杰[1] 姚太军[1] 

机构地区：[1]武警新疆总队医院药局,乌鲁木齐830091 [2]武警新疆总队医院信息科,乌鲁木齐830091

出　　处：《中国医院用药评价与分析》2014年第9期816-818,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的：评价某院Ⅰ类切口手术围术期预防性应用抗菌药物情况。方法：随机抽取该院2012年的Ⅰ类切口手术患者病历，分析其预防性应用抗菌药物的合理性。结果：672例患者中，有602例术前预防性应用抗菌药物，均在术前0.5～2 h内给药。术后停药合理和基本合理529例（占78.7％），不合理179例（占26.7％）。结论：该院应进一步加强Ⅰ类切口手术围术期预防性应用抗菌药物的管理，严格遵循《抗菌药物临床应用指导原则》。OBJECTIVE：To evaluate the perioperative use of prophylactic antibiotios in patients undergoing type Ⅰ incision operation in a hospital. METHODS：672 medical records of patients undergoing typeⅠincision operation in the hospital in 2012 were randomly sampled for analysis regarding the rationality of the prophylactic use of antibiotics. RESULTS：Of the 672 cases,602 received prophylactic antibiotics,with all administered 0.5-2 hrs before operation. Rational or basically rational in postoperative withdrawal of antibiotics was noted in 529 cases（78.4%）versus irrational in 179 cases（26.7%）. CONCLUSIONS：It is important to tighten management on perioperative use of prophylactic antibiotics in patients undergoing type Ⅰ incision operation in this hospital and strictly follow the Guiding Principle on Clinical Use of Antibiotics.

关 键 词：Ⅰ类切口手术 围手术期 抗菌药物 合理用药 

分 类 号：R969.3[医药卫生—药理学] R978.1[医药卫生—药学]