干预前后北京市石景山医院Ⅰ类切口手术预防性应用抗菌药物分析.pdfVIP

干预前后北京市石景山医院 I类切口手术预防性应用抗菌药物分析 张燕娥+，陈金萍，李秀荣(北京市石景山医院药剂科，北京100043) 中图分类号R978．1 文献标志码B 文章编号1672—2124(2013)10—0897—03 摘要 目的：了解我院干预前后I类切口手术预防性应用抗茵药物使用情况，并分析其使用合理性，为临床合理用药提供参考。 方法：随机抽取我院甲状腺、乳腺、腹外疝、闭合性骨折固定术4种I类切口手术出院病例，记录相关用药医嘱，对照标准进行评 高。干预前组与干预后组在抗茵药物使用率、术前超过2h给药、用药疗程以及联合用药方面，差异有统计学意义(P0．05)。结 论：干预措施可操作性强，能够发现临床I类切口手术患者围术期预防性应用抗茵药物的问题，有效提高该类手术患者预防性应 用抗茵药物的合理性。 关键词 I类切口手术；干预；抗菌药物 UseofAntibioticsinPatients I Incision in Prophy’lactic UndergoingType OperationBeijing before ShijingshanHospitalandafterIntervention ZHANG Yan—e，CHEN Jin—ping，LIXiu—rong(Dept．ofPharmacy，BeijingShijingshanHospital， 100043，China) Beijing ABSTRACT the useofantibioticsfor incision OBJECTIVE：To I investigatepreventive patientsundergoingtype inour beforeandafterinterventionand its SOasto referenceforclinical operationhospital analyzerationalityprovide rationaluseof medical recordsof havebeen fromour drugs．METHODS：The patients(whodischargedhospital) I incision abdominalherniaorclosedfracture undergoingtype operations(thyroid，mammary fixation) gland，external were relatedmedicalorderswererecordedandevaluatedinaccordancewiththerelated randomlysampled．The with showed in criteria．RESULTS：Comparedpre—interventiongroup，thepost—interventiongroup improvement in useofantibioticsfor I incision inour were rationalitypreventive