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Ⅰ、Ⅱ类切口手术围术期预防用抗菌药物监测前后对比分析
Ⅰ,Ⅱ class incision surgery perioperative preventive use antibacterial drug monitoring and comparative analysis
【摘要】 目的探讨药物监测后提高围手术期手术预防用药的合理性。方法随机调出2010年9-12月和2011年9-12月I、II类切口手术出院病历各150份,评价分析药物监测前后围手术期预防应用抗菌药物的对比效果。结果监测后药物使用率由监测前的94.00%下降为49.3%;抗菌药物选择趋于合理,监测后使用一、二代头孢菌素由监测前的12.77%上升为75%,监测后使用三、四代头孢菌素者由监测前的19.48%下降为5.23%;I、II类切口手术后的平均持续3-5d用药者,由监测前的52例下降为2例;术前<30min-2h给药者,由监测前的50例上升为71例;联合用药由监测前的63.83%下降为16.21%,降低了47.62%。结论医院采取切实可行的监管措施,可有效促进抗菌药物的合理应用,尤其对围手术期术后预防感染至关重要。
【Abstract】 objective to investigate drug monitoring increased perioperative surgery to prevent the rationality of drug.Methods random v 2010 9-12 months and 2011 9-12 months Ⅰ,Ⅱ class incision surgery the hospital medical records of 150,analysis and evaluation of before and after drug monitoring perioperative preventive application of antimicrobial agents of the contrast effect.Results after monitoring by monitoring drug utilization rate before the 94.00% to 49.3%;Antibacterial drug selection more reasonable,after monitoring use a,the second generation cephalosporins before by monitoring the 12.77% 75%,after monitoring using the third and fourth generation cephalosporin by monitoring the before the 19.48% to 5.23%;Ⅰ,Ⅱ class incision surgery average for 3 to 5 d pharmaceuticals,by monitoring the before of 52 patients with reduced to 2 cases).Preoperative < 30 min-2 h to the medicine,the monitoring of 50 cases before rising for 71 cases).By monitoring combination therapy before the 63.83% to 16.21%,was reduced by 47.62%.Conclusion hospital adopt feasible supervision measures,which can effectively promote the reasonable application of antibacterial drugs,especially for perioperative postoperative prevent infection is very important.
【Key words】 Ⅰ,Ⅱ class incision surgery; Antibacterial drugs; Drug monitoring; analysis;
- 【文献出处】 求医问药(下半月) ,Seek Medical and Ask the Medicine , 编辑部邮箱 ,2012年11期
- 【分类号】R619
- 【下载频次】51