摘要
目的探讨在妇产科合理使用抗生素的方法。方法采用问卷调查及现场抽查病历的方法，对计划-实施-检查-处理（PDCA）循环法实施期间妇产科医务人员对抗生素应用知识、细菌学送检率、围术期应用时间进行检查考核。结果实施PDCA循环前（2012年3月至6月）与实施后（2012年7月至10月）分别对35名医务人员进行抗生素相关知识的考试，3～6月份考试优秀者（〉85分）4人，优秀率为11．43％；合格者21人（85～60分），总合格率71．43％。7～10月份考试优秀者20人，优秀率为57．14％；合格者13人，总合格率94．28％。两组优秀率、总合格率对比差异有统计学意义（χ^22=28．48，21．17，P均〈0．05）；顺产使用抗生素、药物选择不当、联合用药、给药时机不当、给药时间长用法用量不合理、住院医生超范围用药和细菌学送检数7个方面在PDCA循环前后差异均有统计学意义（P〈0．05），干预后显著优于干预前。结论PDCA循环法提高了妇产科医务人员使用抗生素的合理性。
Objective To investigate the rational use of antibiotics in obstetrics and gynecology. Methods Questionnaires and spot checks of medical records was taken, including perioperative application time of the antibiotic, application knowledge, bacteriology submission rate during the implementation of the PDCA cycle for medical staff of obstetrics and gynecology. Results Thirty-five medical personnel antibiotics knowledge were examined before （March-June, 2012） and after （July-October, 2012） implementation of the PDCA cycle. March to June examination excellent （ 〉 85 scores） in 4 cases, excellent rate was 11.43%. those who was qualified in 21 cases （60 to 85 scores）, total passing rate was 71.43%. July to December examination excellent in 20 cases, excellent rate was 57.14% ; Qualified in 13 eases, total passing rate was 94.28%. Two sets of excellent rate, total passing rate compared, the difference was statistically significant（ χ^2 ： 28. 48 ,21. 17, P 〈 0. 05 ） ; Natural labor with antibiotics, improper drug selection, combination therapy, administered at the wrong time, unreasonable long dosage administration time, hospital doctors beyond the scope of medicine and bacteriology censo ship before and after the PDCA cycle differences were statistically significance （ P 〈 0.05 ）. After the intervention was significantly better than before the intervention. Conclusions PDCA cycle method improves the reasonable use of antibiotics for medical staff in department of obstetrics and gynecology.
出处
《中国实用医刊》
2013年第14期76-78,共3页
Chinese Journal of Practical Medicine
