妇科Ⅰ类切口手术围手术期抗菌药物应用的调查分析

摘要

Objective To investigate and analyze the prophylaxis application of antibiotics and the problems in gynecolo-gy during perioperative period of typeⅠincision,in order to provide scientitic bases for strengthening the rational use and standard management of antibiotics.Methods Case history of 150 cases with typeⅠincision were randomly retrieved from May.2012 to Apr.2013, whose data concerning the selection and rate of using prophylactic antibiotics, dressing and combination therapy, prophylaxis timing and duration of medication,ect were analysed.Results 38%patients were used antibiotics.The top 3 types of antibiotics on the usage were the first and second-generation cephalosporins , lincomycin , penicillins .The rate of combination therapy is 10.53%.Preoperative medication timing within a reasonable rate is 75.44%.The average treatment time was 2.18 days.Conclusion Gynecological perioperative antimicrobial drug use still exist in many non-standard place, need to further im-plement the rational use of antibiotics management laws and regulations , standardize typeⅠincision sustained perioperative anti-microbial drug application .%目的：调查研究并分析我院妇科围手术期抗菌药物的预防应用情况及存在问题，为进一步规范抗菌药物的合理使用和管理提供依据。方法随机抽取2012-05-2013-04一年时间内出院的妇科Ⅰ类切口手术患者病例150份，从抗菌药物品种选择及使用率、换药及联合用药情况、预防给药时机及用药持续时间等方面对围手术期抗菌药物应用情况进行调查分析。结果妇科Ⅰ类切口手术围手术期抗菌药物应用率为38％，预防用药主要以一、二代头孢菌素，林可霉素，青霉素类为主，联合用药率为10．53％。用药时机选择合理率为75．44％，平均用药时间为2．18天。结论妇科围手术期抗菌药物的使用中仍然存在着诸多不规范之处，需进一步落实抗菌药物合理应用管理法律规范，持续规范Ⅰ类切口手术围术期抗菌药物的应用。