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预防性抗菌药物在Ⅱ类手术切口术前应用的临床护理探讨 被引量:1

Application and Nursing of Prophylactic Antimicrobial Agents in Class Ⅱ Surgical Incision Before Operation
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摘要 目的:探讨Ⅱ类手术切口术前预防性抗菌药物应用护理措施。方法:选择2015年1月至2016年12月收治的手术患者共120例作为研究对象,随机分组,对照组给予常规护理措施;观察组术前开展抗菌药物专门的护理,对比2组术前预防性应用抗菌药物率、二联及以上应用抗菌药物率、术后感染发生率、持续用药时间、平均住院天数、抗菌药物术前不合理应用情况。结果:两组对比,观察组术前预防性应用抗菌药物率、二联及以上应用抗菌药物率明显更低.持续用药时间、平均住院天数明显更短,抗菌药物术前不合理应用率明显更低,P<0.05;术后感染发生率无差异,P>0.5。结论:Ⅱ类手术切口术前预防性抗菌药物合理使用需要提高护理人员的护理技能和责任意识,加强对抗菌药物的知识认识,熟练掌握药物的不良反应和相应的处理措施。 Objective:To explore the nursing measures of prophylactic antimicrobial application in classⅡsurgical incision.Methods:A total of 120 surgical patients admitted from January 2015 to December 2016 were randomly divided into two groups:the control group was given routine nursing measures,the observation group was given special nursing care for antimicrobial agents before operation,The rate of prophylactic use of antibiotics before operation,the rate of combined use of antibiotics and above,the incidence of postoperative infection,the duration of medication,the average hospital stay,and the irrational use of antibiotics before operation were compared between the two groups.Results:Compared with the control group,the rate of prophylactic use of antimicrobial agents and the combination of two or more antibiotics were observed in the observation group before operation.The rate of antimicrobial application was significantly lower,the duration of medication was longer,the average hospitalization time was shorter,the unreasonable application rate of antibiotics before operation was significantly lower than that before operation(P<0.05),and the incidence of infection after operation had no difference(P>0.5).Conclusion:The rational use of prophylactic antimicrobial agents before operation on the second type incision needs to improve the nursing skills and responsibility consciousness of nursing staff,strengthen the knowledge of antimicrobial agents,master the adverse reactions of drugs and the corresponding measures to deal with them.
作者 朱小珍 金云红 ZHU Xiao-zhen;JIN Yun-hong(Ct Room,the First People's Hospital of Jiujiang City,Jiujiang Jiangxi 332000,China;Medical Record Room,the First People's Hospital of Jiujiang City,Jiujiang Jiangxi 332000,China)
出处 《药品评价》 CAS 2018年第15期36-38,共3页 Drug Evaluation
关键词 Ⅱ类手术切口 术前 预防性抗菌药物 护理 ClassⅡSurgical Incision Preoperative Prophylactic Antimicrobial Nursing Care
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