摘要
目的研究外科清洁手术预防使用抗菌药物的合理性，为规范围手术期用药提供依据。方法通过临床观察方法，对4种清洁手术患者围手术期抗菌药物使用的合理性进行研究。结果本研究在3个月时间内共观察了充填式无张力疝修补术、腹股沟疝修补术、骨折内固定装置取出术和膝关节清理术等4种清洁手术337例，其中119例使用了抗菌药物，总使用率为35．31％。用药时间分布为术前0．5—2h内用药为83．19％，术后用药〈24h为52．10％。用药指征合理性占10．92％，药物品种选择合理性为76．47％。结论该医院外科清洁手术围手术期抗菌药物使用存在指征把握不严，用药时机不当，用药起点高，时间过长等不合理问题。。
Objective To study the rationality of prophylactic antibacterials use in clean surgery, provide evidence for perioperative administration of drug. Method By the method of clinical observation, the rationality of perioperative anti- bacterials application were studied in four kinds of clean surgical patients. Results The 4 kinds of clean operation, filling no -tension hernia, inguinal herniorrhaphy, fracture internal fixation and arthroscopic debridement was observed in 337 ca- ses in the three months of the study. In 337 cases, there are 119 cases used antimicrobial agents （35.31%）. Drug use time of distribution as follows： premedication （0.5 -2 h） accounted for 83.19% of all the 119 cases, postoperative appli- cation （ 〈24 h） accounted for 52. 10% of all the 119 cases. Rational rate was 10. 92%, correct selection of antimicrobials rate was 76.47%. Conclusion Problems existed in the perioperative use of antibacterials in clean surgical are such as in- dications, unsuitable occasion, higher starting point of the use of antibacterials, too long - term use of antibacterials.
出处
《中国消毒学杂志》
CAS
北大核心
2014年第3期242-243,246,共3页
Chinese Journal of Disinfection
关键词
清洁手术
围手术期
抗菌药物
合理用药
clean surgery
perioperative
antibacterials
rational medication
