我院221例剖宫产围手术期抗菌药应用分析

Analysis of the Application of Antibiotics in 221 Cases of Perioperative Cesarean Sections in our Hospital

目的:了解我院剖宫产手术后患者应用抗菌药的情况,并评价其应用的合理性。方法:对我院2009年221例剖宫产手术患者围手术期抗菌药应用品种、使用率、联合用药、使用方法等进行统计分析。结果:221例剖宫产患者100%应用抗菌药。使用率最高的是头孢硫脒(45.7%);其中单一用药169例,二联用药52例,无三联及以上用药。结论:剖宫产患者在抗菌药的选择、开始用药时间、疗程等方面存在着不合理现象,应进一步加强剖宫产围手术期抗菌药的合理应用。

Objective ：To understand the application of antibiotic for patients after surgery section and to evaluate its application of rationality. Method： Antibiotic application varieties, DDDs, drug combination and method of application were analyzed in 221 patients who underwent perioperative cesarean sections in 2009. Result：Antibiotics were used in 221 patients with cesarean section in the preoperative midterm except 1 case. The antibiotic utilization rate was about 100%. The utilization rate at top being cefathiamidine accounted for 45.7% , 169 cases received their single drug medication, 52 cases received their two-drug medication andno patients received their triple-drug or more than three-drug medication. Conclusion： There were some unreasonable phenomena in patients with cesarean section in the choice of antibiotics, time of the beginning of a drug and treatment time ; therefore, the reasonable use of antibiotic should be further strengthened in perioperative cesarean section.