临床路径对计划性剖宫产围术期抗菌药物合理应用的影响  

Effect of clinical pathway on the rational use of antimicrobial drugs during perioperative period of planned cesarean section

作　　者：卢俊丽[1] 蔡乐[1] 莫媛媛 雷雨燕 曾庆基[1] LU Jun-li;CAI Le;MO Yuan-yuan;LEI Yu-yan;ZENG Qing-ji(The Second People's Hospital of Nanning City,Guangxi Nanning 530031,China)

机构地区：[1]南宁市第二人民医院,广西南宁530031

出　　处：《临床医药文献电子杂志》2017年第66期12920-12922,共3页Electronic Journal of Clinical Medical Literature

基　　金：广西卫计委科研课题(Z2014538)

摘　　要：目的探讨计划性剖宫产临床路径的实施对围手术期抗菌药物合理应用的影响。方法采用回顾性调查方法,选取2014年7月~2015年6月我院收治的实施临床路径管理的计划性剖宫产病例200例作为观察组,2012年7月~2013年6月收治的未实施临床路径管理的择期剖宫产病例200例为对照组,对两组病例的抗菌药物使用情况(品种、给药时机、疗程、费用等)及术后手术部位感染发生率等指标进行综合比较分析。结果两组术后手术部位感染发生率比较无显著差异(P>0.05),而观察组抗菌药物品种选择合理率明显提高、首剂给药时机合理率增加、平均用药疗程缩短、人均抗菌药物费用降低,与对照组比较具有显著差异(P<0.05)。结论实施计划性剖宫产临床路径,能规范围手术期抗菌药预防使用,明显促进计划性剖宫产围术期抗菌药物的合理使用。Objective To investigate the effect of the clinical pathways of planned cesarean section on the rational use of antimicrobial agents during perioperative period.Methods Retrospective survey method was used,We selected 200 cases of planned cesarean section in our hospital from July 2014 to June 2015,as the observation group.From July 2012 to June 2013,200 cases of elective cesarean section without clinical path management were selected as control group.The use of antimicrobial agents in two groups of patients(variety,timing of administration,course of treatment,cost,etc.)and the incidence of postoperative surgical site infection were compared and analyzed.Result Two groups of postoperative surgical site infection rate was no significant difference(P>0.05),While the reasonable rate of the observation group was significantly improved,For the first time administration of reasonable rate increase,average drug treatment,antibacterial drugs cost percapita,compared with the control group with significant difference(P<0.05).Conclusion Implementing clinical path planned cesarean section,to standardize the perioperative use antibacterial drug prevention,obviously promote the planned cesarean delivery perioperative rational use of antimicrobial agents.

关 键 词：临床路径 计划性剖宫产 抗菌药物 合理用药 

分 类 号：R719.8[医药卫生—妇产科学]