2005级毕业文点评.docVIP

2005级毕业论文点评 点评者按：为给学生学习毕业论文写作提供便利，同时也为各学习中心老师辅导学生时提供必要的参考，我们试作了此次学生毕业论文点评。点评选择一篇参加了答辩的学生论文，按其行文随处作出评论，肯定优点，指出不足，提醒学生毕业论文写作时应注意的方面，避免易犯的错误。相应的点评文字可见批注（正文页右侧）和集中在被选学生论文后面的论文点评记录，点评者在被选学生论文的点评处用小四号黑体字标注【1】、【2】、【3】……。为方便起见，删除了学生论文作者姓名、原创性声明页、目录页。 点评不当处，请老师和同学们提出意见，直接给教务管理办公室邮箱。 学生论文原文： 医院外科围手术期抗菌药物使用调查【1】 摘 要【2】 目的：了解某二级医院外科围手术期抗菌药物使用情况，分析其使用是否合理。 方法：对2006年1月~4月外科111例手术患者围手术期抗菌药物的使用情况进行统计分析，并作出有关合理性的评价。 结果：196例受调查病历中，采用围手术期预防性使用抗菌药物的111例次，围手术期抗菌药物使用率100％。预防用药起点过高，用药持续时间过长。 结论：外科围手术期预防性应用抗菌药物存在一定程度不合理性，应严格掌握各类手术预防用药的指征; 加强手术前期预防性用药的管理; 限制手术后期用药时间。【3】 关键词：外科围手术期；抗菌药物；预防用药【4】 Abstract Aim：To know the present situation and evaluate the rationality on perioperative antibiotic prophylaxis in general surgery . Method：The usage of perioperative antibiotic prophylaxis in general surgery was surveyed.One hundred and eleven selected patients were randomly picked-up from all patients from Jan 2006 to Apr 2006 to evaluate the rationality on antibiotic prophylaxis. Results：A total of 196 surgical patients in general surgery were surveyed. Perioperative antibiotic prophylaxis was used in 111 cases and the rate of antibiotic usage was 100%. Antibiotics was used in all surgical cases.The using rate of prophylactic antibiotic was high,and continuing prophylactic antibiotic usage beyond the standard recommendations was too long. Conclusion：Prophylactic antibiotic usage in perioperative period still has some problems.In order to administ rate antimicrobials rationally and to prevent the postoperative infections, the perioperative administ ration of antimicrobials for prophylaxis needs to reach a higher level, and the following measures need to be emphasized: to familiarize with the indication of prophylactic medication of various operations; to control preoperative prophylactic medication; to limit the period of postoperative medication. Keywords：perioperative period in general surgery，antibacterial drug，prophylaxis 抗菌药物的应用涉及临床各科，正确合理应用抗菌药物是提高疗效、降低不良反应发生率以及减少或减缓