2017年徐州中医院普外科Ⅰ类切口手术围术期预防用抗菌.PDFVIP

现代药物与临床 Drugs Clinic 第 33 卷 第 8 期 2018 年 8 月 ·2129 · 2017 年徐州市中医院普外科 Ⅰ类切口手术围术期预防用抗菌药物的使用情 况分析 1 2* 1 李 婷 ，王 隽 ，左 文 1. 徐州市中医院 药剂科，江苏 徐州 221000 2. 徐州市中医院 普外科，江苏 徐州 221000 摘 要：目的 了解 2017 年徐州市中医院普外科Ⅰ类切口手术围术期预防用抗菌药物的应用情况，为临床合理用药提供参 考。方法 随机抽取徐州市中医院 2017 年普外科Ⅰ类切口手术出院患者病历 633 例，对围术期抗菌药物预防性应用情况及 其合理性进行评价与分析。结果 633 例患者中 260 例预防性应用抗菌药物，抗菌药物使用率为 41.07% ；药物品种选择最 多的为头霉素类（34.45% ），其次是硫酸依替米星（32.44% ）；给药时间在术前0.5～1 h 的有235 例，占 90.38% ；91.54%患 者使用疗程在 24 h 内；联合用药的 126 例，占 48.46% 。结论 徐州市中医院普外科Ⅰ类切口手术围术期预防性应用抗菌药 物存在用药指征把握不严，药物品种选择不当，联合用药较多等严重问题，应加强抗菌药物临床应用管理，促进抗菌药物临 床的合理应用。 关键词：Ⅰ类切口手术；抗菌药物；预防应用 中图分类号：R978.1 文献标志码：A 文章编号：1674 - 5515(2018)08 - 2129 - 04 DOI: 10.7501/j.issn.1674-5515.2018.08.059 Analysis on prophylactic application of antibiotics undergoing general surgery type Ⅰ incision operation in Xuzhou City Hospital of Traditional Chinese Medicine in 2017 1 2 1 LI Ting , WANG Jun , ZUO Wen 1. Department of Pharmacy, Xuzhou City Hospital of Traditional Chinese Medicine, Xuzhou 221000, China 2. Department of General Surgery, Xuzhou City Hospital of Traditional Chinese Medicine, Xuzhou 221000, China Abstract: Objective To investigate the prophylactic application of antibiotics undergoing type Ⅰincision operation in Department of General Surgery of Xuzhou City Hospital of Traditional Chinese Medicine in 2017, and so as to provide reference for rational use of drugs. Methods A total of 633 medical records of the patients undergoing type Ⅰincision operation in Department of General Surgery of Xuzhou City Hospital of Traditional Chinese Medicine were randomly selected, and prophylactic application and rationality of antibiotics were evaluated and analyzed. Results In the 633 cases of patients, there were 260 cases of patients with prophylactic application of a