基层卫生院抗菌药物临床使用情况的调查与分析

The basic unit public health center antibiotics clinical service condition investigation and analyzes

目的：探讨空心螺丝钉合并髌骨爪治疗髌骨骨折的疗效.方法：搜集23例髌骨骨折患者,采用髌前正中纵切口开放复位,空心钉合并髌骨爪内固定,早期功能锻炼,并长期随访.结果：术后随访6～12个月随访,23例患者按照改良的Bostman评定标准：优20例,良3例,优良率100%.结论：空心钉合并髌骨爪固定牢靠、手术操作简单、可早期膝关节功能锻炼.是治疗髌骨骨折的一种较好的选择.

Objective：Carries on the investigation and the analysis to the basic unit hospital antibiotics service condition, the instruction clinical reasonable medication. Methods：Selects stochastically from June, 2008 to June,2010 east the Jianhu County post public health center outpatient service prescription 1078,uses the review investigation method to various administrative offices antibiotics service condition,the type,carries on the statistical analysis for the formula type and the union medication situation. Results：Spot-checks in 1078 prescriptions to use the antibiotics to have 520, the utilization ratio is 48.2%. The surgical department uses the antibiotics to rank first,accounts for 32. 1%. The cephalosporin class and kui the promise ketones antibiotics utilization ratio are highest,respectively is 33.2% and 24.8%. Applies drugs 102 jointly,accounts for 19.7%. The patient adopts the oral administration to the formula type. Conclusion： This courtyard antibiotics use conforms with the standard basically, from now on will have further to consummate the antibiotics reasonable use the control system, the guarantee clinical medication safe, economical,effective.