重度脑损伤术后ICU病例肺部感染的抗感染药物应用分析

Analysis about the application of anti-infectives in patients with pneumonia occured after severe brain injured operation in ICU

目的探讨我院重度脑损伤术后重症监护(ICU)病例并发肺部感染的抗感染药物应用情况。方法2004-2007年我院ICU收治的重度脑损伤术后并发肺部感染病例392例,分析其抗感染药物的应用情况。结果上述病例的抗感染药物使用共涉及11类34种;联合用药方案共15种,涉及抗感染药物药物34种。结论我院重度脑损伤术后ICU患者并发肺部感染的抗感染药物应用尚存在诸多不合理现象,有待出台针对性的解决方案,切实提高药物合理用药水平。

Objective To evaluate the application of anti-infectives in patients with pneumonia occured after severe brain injured operation in intensive care unit （ICU）. Methods Totally 392 patients with pneumonia occurred after severe brain injured operation from 2004 to 2007 in ICU were selected and the application of anti-infectives in these patients were analyzed. Results The kinds of anti-infectives involved in our investigation were altogether 11 sorts 34 species and the kinds of anti-infeetives related to drug combination were 34 species. Conclusion The application of anti-infectives in patients with pneumonia occured after severe brain injured operation in ICU of our hospital was not reasonable enough. Proposals should be made to promote the reasonable application of anti-infectives.