外科单病种围术期抗生素合理应用及效益干预性研究  

Intervention on Perioperative Use of Antibiotics in Mono-disease Surgery

作　　者：林丹[1] 张朝阳[1] 黄荔红[1] 

机构地区：[1]解放军第95医院医务处,福建莆田351100

出　　处：《解放军护理杂志》2003年第9期1-3,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的 探讨外科单病种手术围术期抗生素合理应用及提高效益方案实施的可行性。方法 干预组与对照组进行对照研究。结果 干预前后医院感染率无明显差异(P>0.05);干预后其平均药费、平均抗生素费用均降低,尤其平均抗菌药费用明显降低,其中以骨科、产科最为突出;干预后使用抗生素的合理率有显著提高(P<0.05),抗生素联合使用率明显降低(P<0.05),干预前后使用的抗生素不合理原因相比有显著差异性(P<0.05)。结论 本研究所实施的合理用药措施具有可行性和有效性,对促进安全、有效、经济、合理使用抗生素起到了积极的作用,为医院降低单病种费用提供了一种有效且可行的方法。Objective To discuss the rationale and benefits of intervention on perioperative use of antibiotics in mono-disease surgery. Methods An intervention group and a control group were established. Results The overall hospital infection rates were not significantly different before and after intervention (P<0.05), but the medical expenses for antibiotics decreased significantly, especially in the departments of orthopedics and obstetrics (P<0.05). Intervention made antibiotic use more reasonable (P<0.05). Conclusion The intervention measures for rational use of drugs are effective and feasible, and play an important role in the safe, effective and economic use of antibiotics, producing good social and economic benefits.

关 键 词：外科 单病种 围术期 抗生素 合理用药 药费 

分 类 号：R978.1[医药卫生—药品] R969.3[医药卫生—药学]