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骨科无菌手术预防应用抗菌药的成本-效果分析
Cost-effectiveness Analysis of Common Antibiotics for Prevention of Post-operation Infections in Orthopedic Aseptic Operations
投稿时间:2006-06-19  修订日期:2006-11-20
DOI:
中文关键词:  抗菌药  骨科  无菌手术  I类伤口  成本-效果分析
英文关键词:Antibiotics,Orthopedic surgery,Aseptic operation,Analogous wound,Cost-effectiveness analysis
基金项目:
孙惠娟  孙艳  陈柏清  李艳华
解放军总医院药品保障中心药库 北京100853
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中文摘要:
      目的:探讨骨科无菌手术应用5种常用抗菌药预防感染的经济效果。方法:随机抽取2006年1~3月的骨科无菌手术135例,Ⅰ类伤口,术前无感染指征,统计病例一般资料和抗菌药使用情况,对5种常用抗菌药预防骨科手术感染进行回顾性分析,比较5种常用抗菌药预防手术感染的成本-效果。结果:在调查的5种药物中,头孢呋辛钠是预防骨科无菌手术感染的最佳用药选择。结论:开展成本-效果分析有助于合理用药,控制用药成本。
英文摘要:
      Objective:To evaluate the economic effectiveness of five antibiotics for prevention of post-operation infections in orthopedic aseptic operations.Method:According to the application of five commonly-used antibiotics to 135 cases of orthopedic aseptic operations,which were analogous wounds and had no infectious signs before surgery,a cost-ef- fectiveness analysis was comparatively made by using the principle of pharmacoeconomics for the five antibiotics for preven- tion of post-operation infections.Result:In the principles of the pharmacoeconomics,cefuroxime sodium was the best anti- biotic to prevent the infection of orthopedic aseptic operations.Conclusion:The cost-effectiveness analysis is very helpful to choose the best rational therapeutic regime and to gain the maximal therapeutic effectiveness with a minimal cost.
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