心血管外科手术患者预防用抗菌药物的临床评价Δ.PDFVIP

路鐢ㄨ嵂鍒嗘瀽路 蹇冭绠″绉戞墜鏈偅鑰呴闃茬敤鎶楄弻鑽墿鐨勪复搴婅瘎浠肺 锛 闃充附姊 锛岄粍鏃収锛岀湱鐜夐湠锛屽瓩 绾紝鍏锋槑鐜夛紝鐜 鍑岋紙绂忓缓鍖荤澶у鐪佺珛涓村簥鍖诲闄?绂忓缓鐪佺珛鍖婚櫌锛岀宸 350001锛 涓浘鍒嗙被鍙 R969.3锛汻287锛汻978.1 鏂囩尞鏍囧織鐮 C 鏂囩珷缂栧彿 1001-0408锛?013锛?6-0486-04 DOI 10.6039/j.issn.1001-0408.2013.06.03 鎽 瑕 鐩殑锛氭瘮杈冨共棰勫墠銆佸悗蹇冭绠″绉戞墜鏈偅鑰呴闃茬敤鎶楄弻鑽墿鐨勫悎鐞嗘€с€佹湁鏁堟€у強缁忔祹鎬с€傛柟娉曪細鎶藉彇鎴戦櫌蹇冭绠″绉?010 骞?锛?鏈堬紙骞查鍓嶇粍锛夈€?011骞?锛?鏈堬紙骞查鍚庣粍锛夎寮€鑳告墜鏈€佹湳鍓嶆棤鎰熸煋銆佽倽鑲惧姛鑳芥棤寮傚父鐨勬偅鑰咃紝瀵瑰叾棰勯槻鐢ㄦ姉鑿岃嵂鐗╂儏鍐佃繘 琛岃瘎浠枫€傜粨鏋滐細鍏辩撼鍏?04渚嬫偅鑰咃紝骞查鍓嶇粍100渚嬶紝骞查鍚庣粍104渚嬨€傚共棰勫悗缁勬偅鑰呯殑鎶楄弻鑽墿搴旂敤鍝佺鍙婂簲鐢ㄦ椂闂村潎鏄捐憲浣庝簬 骞查鍓嶇粍锛圥 锛?.001锛夛紝鍚堢悊鎬ф樉钁楁彁楂橈紱2缁勬偅鑰呭潎鏈鍒囧彛鍙婂櫒瀹?鑵旈殭鎰熸煋锛屽共棰勫悗缁勬偅鑰呮湳鍚庡奖鍍忓鎻愮ず鎰熸煋鎴栫値鐥囩殑姣斾緥鏄 钁椾綆浜庡共棰勫墠缁勶紙P 锛?.003锛夛紱2缁勬偅鑰呯殑鎬讳綇闄㈡椂闂村強鏈悗浣忛櫌鏃堕棿鏃犳樉钁楁€у樊寮傦紝鑰屽共棰勫悗缁勬偅鑰呯殑鎶楄弻鑽墿鎬昏垂鐢ㄦ樉钁椾綆浜 骞查鍓嶇粍锛圥 锛?.001锛夈€傜粨璁猴細瑙勮寖銆佸悎鐞嗗湴棰勯槻鐢ㄦ姉鑿岃嵂鐗╋紝鍙湁鏁堥闃插績琛€绠″绉戞墜鏈湳鍚庢劅鏌擄紝闄嶄綆鎶楄弻鑽墿娌荤枟璐圭敤銆 鍏抽敭璇 蹇冭绠″绉戯紱鎶楄弻鑽墿锛涘共棰勬帾鏂斤紱鍚堢悊鎬э紱鏈夋晥鎬э紱缁忔祹鎬 Clinical Evaluation of Prophylactic Application of Antibiotics in Cardiovascular Surgery Patients YANG Li-mei 锛孒UANG Xu-hui 锛孲UI Yu-xia 锛孲UN Hong 锛孞U Ming-yu 锛學ANG Ling 锛團ujian Provincial Clinical College of Fujian Medical University/Fujian Provincial Hospital 锛孎uzhou 350001锛孋hina 锛 ABSTRACT OBJECTIVE 锛歍o compare the rationality 锛宔ffectiveness and economics of prophylactic application of antibiotics in car- diovascular surgery patients before and after intervention. METHODS 锛歅atients underwent selective thoracotomy operation without preoperative infection and liver and renal dysfunction in cardiovascular surgery department of our hospital between Jun. 锛岮ug. 2010 锛坣on-intervention group 锛塧nd Jun. 锛岮ug. 2011锛坕ntervention group 锛墂ere collected. Prophylactic application of antibiotics was evaluat- ed. RESULTS 锛欰 total of 204patients were included 锛寃ith 100in non-intervention group and 104in intervention group. The number of drug types and medication duration in intervention group were significantly lower than in non-intervention group 锛圥 锛?.001锛夛紝and rationality of