腹腔镜胆囊摘除术患者围术期抗菌药物使用情况分析

Investigation and Analysis of Use of Antibiotics in Perioperation with Gallbladder Enucleation by Laparoscope

目的了解腹腔镜胆囊摘除术患者围术期抗菌药物的应用情况,为临床合理用药提供参考。方法选取我院2011年6月—2012年7月186例行腹腔镜胆囊摘除术患者的出院病历,对围术期抗菌药物的使用情况进行合理性评价。结果全部手术患者均使用抗菌药物,单一用药占95.2%,二联用药占4.8%,其中头孢菌素类应用率最高(91.4%),主要表现为预防用药时机不当、预防疗程过长、药物选择不当。结论我院腹腔镜胆囊摘除术预防应用抗菌药物存在不合理现象,须加强对医师的抗菌药物合理应用知识培训和建立有效的监管机制。

Objective To understand the prophylactic antibiotics use on perloperation in patients undergoing laparo- scopie choleeystectomy, and to provide reference for rational antibacterial drug use. Methods Analyzing 186 patients who un- derwent laparose0pic eholeeystectomy from Jun 2011 to July 2012 were analyzed statistically. Results All the surgical patients use antibacterial drugs, single drug consisted of 95.2%, two drug 4. 8%, with cephalosporins showing the highest proportion （91.4%）, which mainly reflected in the wrong timing of preventing medication overlong preventing treatment, the improper se- lections of drugs. Conclusion The prophylactic application of antibiotics in perioperation with gallbladder anucleation by laparo- scope has some unreasonable phenomenon and must be strengthened. Training the doctor to use the antibiotics reasonably, and the effective surveillance mangagement mechanism be established.