妇产科围手术期抗生素合理应用策略分析

Application Strategy Analysis of Perioperative Antibiotics in Department of Obstetrics and Gynecology

目的：研究妇产科围手术期抗生素合理应用的合理性。方法选取2014年2月～2015年3月间在我院接受妇科手术患者100例，回顾并分析患者在围手术期使用的抗生素的品种、频率及方式。结果100例患者中，99例患者使用了抗生素，抗生素使用率为99.00%。平均使用抗生素时间为（6.12±3.67）d。99例患者共使用7类12种抗生素，所使用抗生素准类包括头孢菌素类、青霉素类、硝咪唑类、氨基苷类等，在临床围术期中所使用的抗生素主要以头孢菌素类为主。99例使用抗生素患者中，2例患者为单一用药，89例患者为二联用药，8例患者为三联用药。结论虽然妇产科围手术期使用抗生素能够对感染起到较好的预防作用，但在使用过程中存在不合理情况，因此在使用药物前，应结合较多因素进行分析，从而保障抗生素使用的合理性。

Objective The reasonable application of antibiotics on obstetrics and gynecology. Methods From February 2014 to March 2015 in our hospital 100 cases of patients with gynecologic surgery patients, analysis of varieties, in the perioperative use of antibiotics and the frequency of review and. Results 100 patients, 99 patients used antibiotics, the antibiotic use rate was 99%. The average time for the use of antibiotics （6.12±3.67） d. 99 cases of patients with a total of 7 categories of 12 kinds of antibiotics, the use of antibiotics including cephalosporins, quasi penicillin, nitrate imidaz, aminoglycosides, used in clinical perioperative antibiotics in mainly cephalosporin. The use of antibiotics in 99 cases of patients, 2 patients for a single drug, 89 patients for two drugs, 8 patients with triple therapy. Conclusion Although the use of antibiotics in peri operation to better prevention effect on infection, but is not reasonable in the use process, so in the use of drugs, should be combined with many factors, so as to ensure the proper use of antibiotics.