摘要
目的调查我院妇产科剖宫产围术期预防性应用抗菌药物情况。方法采用回顾性方法,从病案室抽取2010年100例剖宫产手术病历,对围术期预防使用抗菌药物的情况进行统计、分析。结果所有患者均在围术期预防性应用抗菌药,抗菌药物共涉及六类7种,头孢拉定和头孢替安使用频次较高。预防使用抗菌药多在结扎脐带之后,以单一使用抗菌药为主(83例,占83%),抗菌药物平均使用天数为2.7天,抗菌药物平均费用为94.3元,占药品总费用的14.84%。结论剖宫产围术期预防性应用抗菌药基本合理,但仍存在选药不当、用药时间过长等现象,需进一步规范。
Objective To investigate the preoperative prophylactic utilization of antibiotics during perioperative period in cesarean section cases in our hospital.Methods In retrospective sdudy,extracting 100 cases of cesarean section in 2010 from medical records room,perioperative prophylactic use of antimicrobial drugs were analyzed statistically.Results 100 inpatients were all given prophylactic antimicrobials in the perioperative period.6 categories or six types of antibiotics were involved.Cephradine and Cefotiam were predominantly used.Most of all were given antibacterial drugs after ligation of the umbilical cord,mainly a single use of antimicrobial drugs（83 cases,83%）.Average days of antibiotics use were 2.7 days.Average cost of antibiotics was 94.3 yuan and took up14.84% of the total drug cost.Conclusion The cesarean section perioperative antimicrobial prophylaxis is reasonable,but there are still rooms for improvement such as irrational utilization and long medication,which needs to be further standardized.
出处
《临床医学工程》
2011年第7期1142-1144,共3页
Clinical Medicine & Engineering
关键词
剖宫产
围术期
抗菌药
预防性应用
Cesarean section
Perioperative
Antibacterial drugs
Prophylactic use
