北京市房山区第一医院224份手术病历抗菌药物应用分析  

Analysis of Antibiotic Use in 224 Surgical Cases in Beijing Fangshan District First Hospital

作　　者：王秀云[1] 刘洋[1] 周秋峰[1] 

机构地区：[1]北京市房山区第一医院药剂科,北京102400

出　　处：《中国医院用药评价与分析》2015年第1期64-66,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解北京市房山区第一医院(以下简称"我院")手术患者中抗菌药物的使用情况、使用特点及存在的问题,为临床合理应用抗菌药物提供参考。方法:随机抽取2013年我院224份手术病历,对患者情况、抗菌药物使用情况、手术情况、切口类别等进行统计分析。结果:224份病历中,Ⅰ类切口手术68例,占30.4%,抗菌药物使用率为29.4%,主要使用的抗菌药物为注射用头孢呋辛;Ⅱ类切口手术137例,占61.2%,主要使用的抗菌药物为注射用头孢呋辛、注射用头孢拉定、注射用头孢西丁、注射用奥硝唑、头孢呋辛酯片等。结论:我院手术患者抗菌药物的使用情况基本合理,但在抗菌药物使用剂量、频次、使用时间及联合用药等方面仍存在问题,需要继续加强抗菌药物合理使用的培训与宣传工作,促进临床合理用药。OBJECTIVE：To investigate the status quo , characteristics and problems in the antibiotic use in surgical cases in Beijing Fangshan District First Hospital （ hereinafter referred to as “our hospital”） for reference of clinical rational use of antibiotics .METHODS：A total of 224 records of surgical cases in our hospital were randomly selected in 2013 for statistical analysis regarding patients＆#’status, antibiotic use, surgery, incision type etc.RESULTS：Of the 224 cases, 68（30.4%） underwent type Ⅰincision surgery with 29.4%treated with antibiotics, predominantly cefuroxime for injection; 137 （ 61.2%） underwent type Ⅱ incision surgery , for whom the antibiotics including cefuroxime sodium for injection , cefradine for Injection , ornidazole for Injection and cefuroxime axetil tablets were used predominantly .CONCLUSIONS：The antibiotic use in surgical cases in our hospital was basically rational; however , there are still problems in dose , frequency and time of administration and combination therapy .It is important to tighten training and propaganda on the rational use of antibiotics to promote clinical rational use of antibiotics .

关 键 词：手术患者 抗菌药物 用药分析 

分 类 号：R978.1[医药卫生—药品]