摘要
目的了解剖宫产术患者围手术期抗菌药物的应用现状并评价其合理性。方法采用回顾性分析方法,对2007年10月至2008年3月196例剖宫产术患者应用抗菌药物的情况进行统计、分析。结果189例患者在围手术期使用了抗菌药物,占96.43%;其中仅65例患者为术前2h内用药,占34.39%;166例患者术后用药时间超过48h,占87.83%;99例患者在围手术期使用了3种及3种以上抗菌药物,占52.38%;青霉素和头孢菌素类应用最多;使用抗菌药物的品种数及不同给药方案对术后最高体温、最高白细胞计数、总住院天数、术后住院天数、总住院费用及西药总费用等指标均无显著性影响。结论基层医院剖宫产术患者围手术期抗菌药物的应用有不合理之处,亟待干预。
Objective To investigate the perioperative use of antibiotics in the patients with C- sect so as to provide references for rational administration of drugs in clinic. Methods 196 cases were retrieved from C- sect patients discharged from our hospital during Oct. 2007 to Mar. 2008, whose data were subjected to statistical analysis. Results 96. 43% of cases were given antibiotics, most of which were penicillin and cefradine; 65 patients were given medicines more than 2 h before surgical operation, occupying 34. 39%. 87.83% of cases were given antibiotics for more than 48 h, and 52. 38% of cases used three or more antibiotics. Conclusion Prophylactic antibiotics usage during perioperative period exists some problems and standardized administration needs to be strengthened.
出处
《中国药业》
CAS
2009年第15期47-48,共2页
China Pharmaceuticals
关键词
剖宫产术
围手术期
抗菌药物
C - sect
perioperative period
antibiotics
