干预后152例阴道分娩产妇抗菌药物应用情况分析

Antimicrobial application analysis of 152 cases of vaginal delivery women after the intervention

目的了解采取干预措施后阴道分娩产妇抗菌药物应用情况。方法对2013年10-12月阴道分娩产妇病历152份进行回顾性分析。结果 152份病历中,使用抗菌药物44例（28.95%）;以头孢唑林钠为主（79.54%）,应用时间以≤3d为主（81.82%）,应用合理率为70.45%;108例未使用抗菌药物的产妇未出现发热、产褥热、会阴伤口感染等异常情况。结论阴道分娩产妇干预措施有效,可以不常规使用抗菌药物。

Objective To understand the antimicrobial application of vaginal delivery women after the intervention. Methods From October to December in 2013,152 medical records, of vaginal delivery women were retrospectively analyzed. Results In 152 medical records,44 patients used antibiotics, the antibacterial drug utilization rate was 28.95% ;Medication was given priority to with cefazolin sodium, accounted for 79.54% ;The application time was given priority to with 3 d or less, accounting for 81.82% ;The reasonable application rate was 70.45% ;108 women without using antibacterial drugs did not appear fever,puerperal fever,perineum wound infection and other anomalies. Conclusion The intervention measures produced significant results. Vaginal delivery women can abandon the routine use of antibiotics to every patient.