药学干预中三种Ⅰ类切口手术预防用抗菌药的比较分析  

Comparative Analysis on Application of Preventive Antibiotics to Type I Incision Operation in Pharmaceutical Intervention

作　　者：蔡靖斌 陈维中[1] 陈晓兰[1] 朱建喜[1] 陈建清[1] 

机构地区：[1]南京军区福州总医院第一附属医院,莆田351100

出　　处：《中国药事》2015年第4期423-426,共4页Chinese Pharmaceutical Affairs

摘　　要：目的:评价我院实行药学干预后Ⅰ类切口手术围手术期抗菌药物应用情况与效果,为临床合理用药提供参考。方法:采用回顾性分析方法,对我院2012年7月至9月(干预前)和2013年7月至9月(干预后)有代表性的三种Ⅰ类切口手术围手术期抗菌药物的使用频次、应用种类及用药时限、费用进行分析。结果:实施药学干预后,我院Ⅰ类切口手术围手术期预防用抗菌药物使用率、人均费用显著降低,用药时限明显缩短,使用频次更趋合理(P<0.05)。结论:实施药学干预使我院Ⅰ类切口围手术期抗菌药物的应用更加合理、规范、经济、有效。Objective：To evaluate application and effect of antibiotics used during type I incision operation after implementation of pharmaceutical intervention so as to provide reference for clinical rational drug use. Methods：Retrospective analysis methods were adopted to evaluate usage frequency, application types, medication time, and cost of antimicrobial drugs during 3 typical kinds of type I incision operation from July to September 2012 （before intervention） and July to September 2013 （after intervention）. Results： After the implementation of pharmaceutical intervention, the usage ratio of antibacterial drugs and per capita costs during the preoperative period of type I incision operation were significantly reduced, medication time was obviously shortened and the usage frequency of antibacterial drugs was more reasonable （P〈0.05）. Conclusion：The implementation of pharmaceutical intervention made the application of antimicrobial drugs during the preoperative period of type I incision operation more reasonable, standard, economical and effective in our hospital.

关 键 词：药学干预 I类切口手术 抗菌药物 围手术期 合理用药 

分 类 号：R969.3[医药卫生—药理学]