基于AHM-TOPSIS法评价本院老年患者骨科Ⅰ类切口手术预防性使用抗菌药物的合理性  

Quantitative Evaluation of the Prophylactic Use Rationality of Antibiotics in Orthopedic ClassⅠIncision Surgery of the Elderly Patients of Our Hospital Based on Weighted AHM-TOPSIS Method

作　　者：李珍[1] 蔡郁[1] 王烨[1] 孙艳萍[1] 李影影[1] LI Zhen;CAI Yu;WANG Ye;SUN Yanping;LI Yingying(Department of Pharmacy,Beijing Geriatric Hospital,Beijing 100095,China)

机构地区：[1]北京老年医院药学部,北京100095

出　　处：《药学与临床研究》2022年第5期451-456,共6页Pharmaceutical and Clinical Research

基　　金：北京市属医院科研培育计划项目(PX2016064)。

摘　　要：目的:构建一种老年骨科患者Ⅰ类切口手术预防使用抗菌药物的量化评价体系,为医院管理部门制订决策提供科学依据。方法:首先制定相关的评价原则,采用属性层次模型AHM赋权法对制定的各项评价指标进行赋权,再使用加权逼近理想解排序法(TOPSIS)对本院2020年1月~12月骨科的120例Ⅰ类切口手术老年患者病例进行回顾性分析并评价。结果:设立的评价系统包括12个评价指标,其中占较高权重的有适应证、预防给药时机、用药疗程和药物品种选择(权重分别为0.165、0.118、0.115、0.112)。在120份病例中,与最优方案接近程度大于80%的有64例(53.33%),接近程度60%~80%的有22例(18.33%),接近程度小于60%的有34例(28.33%)。这种评价方法与传统处方点评方法比较一致率为91.67%。结论:AHM-TOPSIS法将多个指标具体量化并且结合起来评价,可用于老年患者Ⅰ类切口手术、预防使用抗菌药物合理性的评价。评价结果显示,本院两个骨科科室Ⅰ类手术切口预防用药较为合理,但在用药时机、品种选择、疗程、给药剂量等方面需进一步加强管理。Objective:To construct a quantitative evaluation system for the prophylactic use of antibiotics in elderly orthopedic patients undergoing Type I incision surgery,so as to provide a scientific basis for hospital management in decision making.Methods:First,relevant and evaluation principles were drafted.The AHM-TOPSIS method was used to weight the evaluation indicators evaluate the priority of solutions,Then analyze and evaluate 120 cases of elderly patients undergoing Type I incision surgery in the Department of Orthopedics from January 2020 to December 2020.Results:The evaluation system included 12 evaluation indicators,among which indications,timing of preoperative medication,medication course and variety selection(weighted 0.165,0.118,0.115 and 0.112,respectively)had higher weights.Of the 120 cases,64(53.33%)were with more than 80%relative proximity,22(18.33%)were with 60%to80%relative proximity,and 34(28.33%)were with less than 60%relative proximity.The consistency rate between this quantitative evaluation method and the traditional prescription evaluation method was 91.67%.Conclusion:The AHM-TOPSIS method was feasible to quantify multiple indicators and evaluate them together.The evaluation results showed that the prophylaxis of Type I surgical incisions in the two orthopedic departments of our hospital was reasonable,but the management of medication timing,variety selection,course of treatment and dosage should be further strengthened.

关 键 词：骨科 老年患者 Ⅰ类切口 抗菌药物 AHM-TOPSIS 

分 类 号：R969.3[医药卫生—药理学]