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| 我院Ⅰ类切口手术患者抗菌药使用分析 |
| Analysis of Antibiotic Prophylaxis and Healing of Type Ⅰ Perioperative Incision in our Hospital |
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| DOI： |
| 中文关键词: 抗菌药 Ⅰ类切口 围手术期 切口愈合 |
| 英文关键词:Antibiotic TypeⅠ incision Perioperative period Incision healing |
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| 中文摘要: |
| 摘 要 目的：了解我院Ⅰ类切口围手术期预防性使用抗菌药的现状及切口愈合情况，为我院抗菌药的管理提供数据支持，为合理用药提供参考。方法：采用回顾性调查，抽取本院2011年5～6月出院的Ⅰ类切口手术的所有病案，记录患者基本信息、手术信息、切口愈合信息和抗菌药信息，对其进行统计分析。结果：共调查1 048例Ⅰ类切口手术病案，预防性使用抗菌药的有689例（65.7%），其中选药合理的有562例（81.6%）；切口愈合等级为甲级1 037例（99.0%），乙级11例（1.0%）；首次用药时机在术前30 min～2 h 319例（30.4%）；预防性使用疗程≤48 h 857例（81.8%）。结论：本院Ⅰ类切口围手术期预防性使用抗菌药合理性有明显进步，也存在一些不合理使用现象，还需进一步建立健全合理应用抗菌药管理制度。 |
| 英文摘要: |
| ABSTRACT Objective:To investigate perioperative prophylactic use of type Ⅰ incision in our hospital to provide a scientific evidence for making relevant policies and references for rational drug use. Methods:All the cases with type I incision from March to June in 2011 in our hospital were retrospectively investigated and analyzed in respect of their basic information, surgery situation, incision healing information and antibiotic prophylaxis status.Results: Among 1 048 cases with type Ⅰ incision investigated, 689 cases used antibiotic prophylaxis (the ratio was 65.7%) and 562 cases used rational antibiotics (the ratio was 81.6%). The healing grade of the 1 037 cases was A grade (the ratio was 99.9%) while that of 11 cases was B grade (the ratio was 1.0%). The time to give 319 cases (the ratio was 30.4%) antibiotic prophylaxis was from 30 minutes to 2 hours before operation, and 857 cases used antibiotic prophylaxis within 48 hours (the ratio was 81.8%). Conclusion:The perioperative prophylactic use of typeⅠincision was still irrational, though it was more reasonable than before. It is suggested that perioperative prophylactic use in typeⅠincision should be further supervised. |
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