中国药物警戒 ›› 2013, Vol. 10 ›› Issue (4): 244-246.

• 医院药事管理与合理用药 • 上一篇    下一篇

合理干预对4种清洁手术围术期预防用抗菌药物影响分析

覃东,周力,黄斌   

  1. 桂林市人民医院,广西桂林 541002
  • 收稿日期:2012-10-16 修回日期:2016-03-09 出版日期:2013-04-08 发布日期:2016-03-09
  • 通讯作者: 周力,女,本科,主治医师,心血管内科。
  • 作者简介:覃东,男,本科,主管药师,临床药学。

Analysis of the Effect of Rational Intervent ion in Perioperative Antimicrobial Prophylaxis on4 Kinds of Aseptic Operations

QING Dong ,ZHOU Li*, HUANG Bin   

  1. First Hospital of Guilin city, Guangxi Guilin 541002, China
  • Received:2012-10-16 Revised:2016-03-09 Online:2013-04-08 Published:2016-03-09

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摘要： 目的 研究合理干预对4 种清洁手术（甲状腺手术、乳腺手术、疝气修补术,闭合性骨折）围手术期使用抗菌药物的效果。方法 经过院部管理,质量控制等合理技术干预,抽取我院2010 年第4 季度归类出院病历为干预前组,2011 年第4 季度归类出院病历为干预后组,对其适应证、药物选择、用药时间、用法用量、联合用药等情况进行对照分析。结果 干预后4种清洁手术围术期预防用抗菌药物在药物选择、用药时间、用法用量、联合用药等使用的合理率都有显著的提高（ P<0.05）,提示干预有效。结论 有效可行的干预措施,可显著提高围术期合理用药比例,提高医院的合理用药水平。

关键词: 清洁手术, 围手术期, 抗菌药物, 预防应用, 干预对照

Abstract: Objective To analyze the effect of rational intervention in perioperative antimicrobial as prophylaxis on four kinds of aseptic operations. Methods Selected medical records about four kinds of aseptic operations(thyroidectomy, breast surgery, hernia repair surgery and closed fracture surgery) in our hospital. The fourth quarter medical records in 2010 are regarded as the group without intervention and the fourth quarter medical records in 2011 are regarded as the group in tervened. Analyzed and evaluated their indication, drug selection, medication time, usage and dosage, combination according to the standards of rational use of antimicrobial drugs. The Results of statistics are studied with 2 check. Results The qualified rates on indication, drug selection, medication time, usage and dosage, combination were significantly improved( P<0.05). Conclusion Developing standard intervention measures for perioperative prophylactic application of antibacterials can improve the proportion of rational drug use during perioperative period and rational use of antibiotics in hospital.

Key words: aseptic operation, perioperatire period, antibacterials, prophylaxis, intervention

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