110所医院Ⅰ类切口手术抗菌药物预防使用率的综合评价  

Evaluation of the Prophylactic Usage of Antibiotics in Clean Surgical Operations in 110 Hospitals

作　　者：王辉[1] 刘正跃[1] 孙国权[2] 杨樟卫[1] 

机构地区：[1]长海医院药学部,上海200433 [2]第二军医大学临床药学与药事管理教研室,上海200433

出　　处：《中国药学杂志》2016年第15期1336-1340,共5页Chinese Pharmaceutical Journal

摘　　要：目的综合评价多中心样本医院的Ⅰ类切口手术抗菌药物预防使用率。方法基于区域医疗大数据,获取110所样本医院Ⅰ类切口手术抗菌药物预防使用率,采用常规统计方法和TOPSIS法对不同层级医院使用水平进行比较。结果计139 617例手术病例纳入统计,常规统计Ⅰ类切口手术抗菌药物预防使用率为41.87%。样本医院10项Ⅰ类切口手术抗菌药物预防使用率为17.08%,使用率最高的手术为输卵管切除术、开颅血肿清除手术、髋关节置换术,均在80%以上。结论采用常规统计方法仅能整体上或从单项手术方面反映医院抗菌药物预防使用的状况,而TOPSIS法更适合对医院使用水平进行综合评价,目前一些医院部分Ⅰ类切口手术抗菌药物预防使用率仍偏高。OBJECTIVE To investigate and analyze the prophylactic usage of antibiotics in clean surgical operations in 110 hos- pitals. METHODS The prophylactic usage of antibiotics in clean surgical operations in 110 sample hospitals was obtained from the regional medical big data center, and then evaluated with the traditional statistical methodand the technique for order preference by simi- larity to ideal solution （TOPSIS） method, respectively. RESULTS The total number of patients receiving clean surgical operations enrolled into this analysis was 1 396 17, among whom the average prophylactic usage rate of antibiotics was 41.87%. The average prophylactic usage rate of antibiotics in the highlighted 10 kinds of clean surgical operations was 17. 08%, with the highest usage rate （ higher than 80% ） in tubal surgery, craniotomy surgery, and hip replacement surgery. CONCLUSION The traditional statistical methods can only reflect some aspects of the usage of antibiotics in clean surgical operations, and the TOPSIS method is more suitable for hospitals to evaluate the general usage of antibiotics. Combined usage of the two methods can objectively reflect the medical quality of hospitals.

关 键 词：I类切口手术 抗菌药物预防使用 综合评价方法 

分 类 号：R969.3[医药卫生—药理学]