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| 合理用药干预前后我院Ⅰ类切口手术围手术期预防用抗菌药调查 |
| Investigation of Rational Pre and Post intervention of Antibiotic Preventive Administration for Type I Surgical Incision |
| 投稿时间：2012-02-01 修订日期：2012-04-05 |
| DOI： |
| 中文关键词: 抗菌药 合理用药 干预 Ⅰ类切口手术 围手术期 |
| 英文关键词:Antibiotics Rational drug use Intervention Type I Incision Perioperative period |
| 基金项目: |
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| 中文摘要: |
| 摘 要 目的：分析合理用药干预对我院甲状腺手术、疝气修补术、乳腺手术等3种 Ⅰ类切口手术围手术期预防用抗菌药的影响。方法：选取2011年1～7月出院的上述3种 Ⅰ类切口手术病例为干预前组，2011年8～11月出院的为干预后组，汇总、分析后评价围术期预防用抗菌药的合理性。结果：干预后预防用抗菌药的使用率明显降低，从干预前的100%分别降至30.51%（甲状腺手术）、60.42%（疝气修补术）、35.00%（乳腺手术）；用药时机、选药品种、用药疗程等较干预前也更为合理。结论：我院合理用药干预使得抗菌药在围术期的预防应用更加的合理。 |
| 英文摘要: |
| ABSTRACT Objective: To analyze the effect of rational pre and post intervention of antibiotic preventive administration on type I surgical incision. Methods:The cases with operations of thyroid, hernia, or mammary gland were selected as the controlled group from January to July 2011 and the same cases, as the intervention group from August to November. Then the rationality of the preventive administration of antibiotics was retrospectively analyzed and evaluated.Results:Through the intervention, the rate of using antibiotics decreased from the previous 100% to 30.51%（thyroid operation）,60.42%（hernia operation）and 35.00%（mammary gland operation）.The time, drugs’ selection and course of using antibiotics were more rational after the intervention than before it. Conclusion:The rational administration intervention contributed to a safe, effective and economical application of antibiotics in surgical incision. |
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