550例剖宫产患者围手术期抗菌药物应用分析

目的：探讨我院剖宫产患者围手术期抗菌药物应用的合理性，促进临床合理用药。方法：回顾性调查分析我院2009年剖宫产患者共550例，制定围手术期抗菌药物使用情况调查表，进行统计分析。结果：剖宫产患者围手术期抗菌药物应用率为100％，给药途径以静脉给药为主，个别病例采用静脉给药序贯口服给药方式；抗菌药物应用较多的是第二代头孢菌素，达到用药比例的73．63％，其次是一代头孢菌素、青霉素类和克林霉素等；术前2．0h内给药的比例85．82％，较为合理；术后用药时间偏长，小于3．0天者仅占10．00％，4．0天至5．0天者87．27％，6.0天以上者为2．73％；选药档次偏高病例达16．36％。结论：我院剖宫产患者围手术期用药在品种选择和用药时机方面较为合理，但用药时间长、用药档次偏高、频繁换药等问题有待进一步改善。

Objective To study the application of antibacterial in perloperative patients with cesarean section, So as to provide reference for rational administration of drugs in the clinic.Methods The situation of perioperative antibacterial drug utilization in 550 patients undergoing oesarean section in 2009,in this hospital was analyzed retrospcctively.Resuhs The use of antibacterials was 100% among 550 Cesarean section in patients,and the main route is intravenous, and the highest rate of use was the second generation cephalosporins, the proportion reached 73.63%, followed by the generation eephalosporins, such as penicillin and elindamycin,and so on, 85.82% of the patients were given the medicine within 2h before operation was reasonable, a longer length of time after operation, less than 3.0 days accounted for only 10.00%, from 4.0 to 5.0 days were 87.27%, 6.0 days or more was 2.73%; drug selection and high-grade cases of 16.36%.Conclusion There is rational prophylactic use of antibacterials for cesarean section patients during perioperative period in this hospital, but the medication for a long time, high-grade drugs, frequent dressing changes and other issues need to be improved.