【摘要】 目的了解基层医院手术科室抗菌药物使用状况,指导与规范手术科室合理使用抗菌药物。方法随机抽查我院2004年6月至2005年6月手术科室手术病例1366份,调查其抗菌药物应用的情况并进行综合分析。结果所有被调查的病例均使用了抗菌药物。预防性用药占总病例数的89·0%,其中术前1h内给药者仅占30·6%,其余均为术后给药。抗菌药物的疗程为1~63d不等;预防性用药的疗程多数在3~16d范围内,其中疗程超过3d者占94·7%,超过7d者占53·5%。联合用药非常普遍,其中二、三联用药占总病例数87·5%,且用药频数较高者均为广谱、新型、高效的抗菌药。结论基层医院在手术病例中选择抗菌药的用药指征、给药时机、疗程和联合用药等方面均存在不合理现象,应加强抗菌药物的管理,开展合理应用抗菌药物知识的宣传与教育,提高合理用药水平。更多还原

【Abstract】 Objective To investigate the usage of antibacterial drug in the department of operation in our hospital for improving the management and proper clinical utilization.Methods 1366 operational cases from our hospital were randomly collected from June 2004 to June 2005 and a comprehensive analysis of the usage of antibacterial drugs was conducted.Results All of the cases were given antibacterial drugs.The rate of preventive usage was 89.0%,among which those given in the period in 1h before operating was only 30.6%,and the other’s was given after operating.The therapy time of antibacterial drugs were ranged from 1 to 63 days in different case and the preventive usage were 1 to 16 days.The therapy time of surpass 3 days was 94.7% and surpass 7 days was 53.5% in preventive usage.Prescriptions of more than one kind drug was widespread very much and 2～3 kinds were 87.5%.The wide-table,new-style and high-efficiency antibacterial drugs were the most frequently used in prescription.Conclusions The use of the antibacterial drugs in operational case in our hospital has some problem,especially in scope,opportunity moment,therapy time and union of usage.The management and education about rational usage of antibacterial drugs must be strengthened in order to improve the level of rationality in the clinical application.更多还原