三级甲等医院妇产科围手术期患者抗菌药物治疗方案的调查分析

Investigation of the Application Status of Antibacterial Drugs in Patients With Preoperative Gynecological and Obstetrical Surgery From a Third-Grade Class-A Hospital

目的探讨三级甲等医院妇产科围手术期患者抗菌药物的治疗方案,并评估抗菌药物的合理应用状况。方法采用随机抽样的方法,抽取2010年6月至2011年6月天津市某三级甲等医院妇产科300例围手术期患者的病历资料为研究对象,提取其中有关抗菌药物治疗方案信息,按照国家有关抗菌药物的合理使用相关评价标准,逐一分析抗菌药物联合应用方案,抗菌药物种类、给药途径、剂量、次数及换药理由及其合理性等。结果 300例围手术期患者接受抗菌药物单一治疗方案的应用率为74.67%(224/300),二联方案的应用率为25.33%(76/300)。其中,抗菌药物种类的应用合理性为88.67%(266/300),给药途径的合理性为100.00%(300/300),给药剂量的合理性为63.67%(191/300),给药次数的合理性为37.33%(112/300),换药理由的合理性为64.33%(193/300)。结论该三级甲等医院妇产科对围手术期患者的抗菌药物治疗方案尚存在不合理现象。目的探讨三级甲等医院妇产科围手术期患者抗菌药物的治疗方案,并评估抗菌药物的合理应用状况。方法采用随机抽样的方法,抽取2010年6月至2011年6月天津市某三级甲等医院妇产科300例围手术期患者的病历资料为研究对象,提取其中有关抗菌药物治疗方案信息,按照国家有关抗菌药物的合理使用相关评价标准,逐一分析抗菌药物联合应用方案,抗菌药物种类、给药途径、剂量、次数及换药理由及其合理性等。结果 300例围手术期患者接受抗菌药物单一治疗方案的应用率为74.67%(224/300),二联方案的应用率为25.33%(76/300)。其中,抗菌药物种类的应用合理性为88.67%(266/300),给药途径的合理性为100.00%(300/300),给药剂量的合理性为63.67%(191/300),给药次数的合理性为37.33%(112/300),换药理由的合理性为64.33%(193/300)。结论该三级甲等医院妇产科对围手术期患者的抗菌药物治疗方案尚存在不合理现象。

Objective To investigate the application status of antibacterial drugs in patients with preoperative gynecological and obstetrical surgery from a third-grade class-A hospital. Methods A random sampling study was conducted on the use of antibacterial drugs in patients underwent obstetrical and gynecological surgery between June 2010 and June 2011 from a third-grade class-A hospital in Tianjin. Their clinical data were retrospectively analyzed in the aspects of drug combination, drug species, administration route, dose, frequency and dressing change. Results The single application rate of antibacterial drugs was 74.67% （224/300）, rate of drug combination was 25.33% （76/300）, rationality of the drug species was 88. 670%（266/300）, rationality of administration route was 100% （300/300）, rationality of of dosage was 63.67% （191/300）, and rationality of dressing change was 64.33% （193/300）. Conclusions Management of antibacterial drugs administration for patients underwent gynecologic and obstetric operation should be strengthened in this third-grade class-A hospital in Tianjin.