泌尿系统结石患者抗生素的应用情况分析

Analysis of Application of Antibacterial of Patients with Urinary Stone

目的研究泌尿系统结石患者抗生素的使用情况。方法选择云南财经大学校医院门诊部和住院部从2014年1月—2016年1月的180例泌尿系统结石患者的资料做考察对象。按照随机数表法,随机分为观察组(90例)和对照组(90例),记录各组抗生素的使用情况并对患者进行血常规检查,分析患者使用抗生素是否合理。结果观察组抗生素用法用量正确的病患68例(75.56%)。对照组抗生素用法用量正确的病患72例(80.00%),各项数据比较差异有统计学意义(P<0.05)。抗菌药物共有11大类44种的抗菌药,共应用626次,总计3 926 d。只用一种抗菌药物的有18例(15.52%);使用两种抗菌药物的有89例(76.72%);使用3种抗菌药物的有9例(7.76%)。均采用静脉注射。前5位抗生素使用天数为3 213 d(81.81%),分布区域3~10 d,使用药物431次(68.85%)。DUI值范围从0.75到1.25,平均(1.02±0.03)。结论使用抗生素药物的使用大多集中在住院部的患者中,治疗方法大多是两种抗菌药物静脉注射,使用方法基本是合理的。

Objective To research the use of antibacterial of patients with Urinary Stone. Methods 180 cases of pa-tients with Urinary Stone admitted and treated in our hospital from January 2014 to January 2016 were selected and randomly divided into two groups with 90 cases in each, the use of antibacterial in the two groups was recorded and the blood routine test was conducted for patients and whether the use of bacterial was rational or not was analyzed. Results The difference in the patients with accurate dose of antibacterial between the observation group and the control group was statistically significant（68 cases, 75.56% vs 72 cases, 80.00%）（P〈0.05）, there were 44 kinds of antibacterial in 11 categories, the application was 626, 3926 d in total, and 18 cases only applied one kind of antibacterial （15.52%）, and 89 cases applied two kinds of antibacterial （76.72%）and 9 cases applied three kinds of antibacterial （7.76%）, and all patients adopted the intravenous injection method, and the use day of top five antibacterial was 3 213 d（81.81%）, and the distribution region was 3？10 d, and the application was 431 （68.85%）, and the DUI value range was from 0.75 to 1.25, （1.02±0.03） on average. Conclusion The use of antibacterial is mostly in inpatients, and the intravenous injection is the major treatment method, and the use method is basically rational.