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抗菌药物用药管理在患者临床合理用药中的作用

The Role of Antibacterial Medication Management in the Clinical Rational Use of Drugs
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摘要 目的分析抗菌药物用药管理在患者临床合理用药中的作用。方法2018年5月—2020年5月该院收治200例患者为观察对象,随机分组,对照组常规实施抗菌药物治疗(100例),观察组于抗菌药物管理基础上实施治疗(100例),分析其作用。结果观察组用药种类不合理比率0.00%、用药剂量不合理比率0.00%、用药时机不合理比率1.00%、给药方法不合理比率0.00%、联合用药不合理比率1.00%,低于对照组的6.00%、5.00%、7.00%、5.00%、8.00%,差异有统计学意义(χ^(2)=6.190、5.130、4.690、5.130、5.700,P<0.05)。观察组单一抗菌药物使用比率67.00%,高于对照组,差异有统计学意义(χ^(2)=9.820,P<0.05);观察组三联抗菌药物使用比率4.00%,低于对照组,差异有统计学意义(χ^(2)=8.000,P<0.05);观察组、对照组二联抗菌药物使用比率29.00%、39.00%,差异无统计学意义(χ^(2)=2.230,P>0.05)。观察组Ⅰ类切口感染率0.00%、Ⅱ类切口感染率0.00%、Ⅲ类切口感染率1.00%,低于对照组,差异有统计学意义(χ^(2)=4.080、5.130、4.690,P<0.05)。结论抗菌药物用药管理在患者临床合理用药中的作用显著,可减少抗菌药物不合理使用情况及联合抗菌药物使用情况。 Objective To analyze the role of antimicrobial medication management in the clinical rational use of drugs.Methods From May 2018 to May 2020,200 patients were admitted to the hospital as observation objects.They were randomly divided into two groups.The control group was routinely treated with antibacterial drugs(100 cases),and the observation group was treated on the basis of antibacterial drug management(100 cases),and its effects were analyzed.Results The unreasonable rate of medication types in the observation group was 0.00%,the rate of unreasonable dose of medication was 0.00%,the rate of unreasonable timing of medication was 1.00%,the rate of unreasonable administration method was 0.00%,and the rate of unreasonable combination medication was 1.00%,which was lower than the control group's 6.00%,5.00%,7.00%,5.00%,8.00%,the difference was statistically significant(χ^(2)=6.190,5.130,4.690,5.130,5.700,P<0.05).The use rate of single antibiotics in the observation group was 67.00%,which was higher than that of the control group(χ^(2)=9.820,P<0.05);the use rate of triple antibiotics in the observation group was 4.00%,which was lower than the control group,the difference was statistically significant(χ^(2)=8.000,P<0.05);In the control group,the use ratio of dual antibacterial drugs was 29.00%and 39.00%,which was not statistically significant(χ^(2)=2.230,P>0.05).In the observation group,the infection rate of type I incision was 0.00%,the infection rate of type II was 0.00%,and the infection rate of type III was 1.00%,which was lower than that of the control group,the difference was statistically significant(χ^(2)=4.080,5.130,4.690,P<0.05).Conclusion The management of antibacterial medication has a significant effect in the clinical rational use of patients,and it can reduce the irrational use of antibacterial drugs and the use of combined antibacterial drugs.
作者 孙茂杰 SUN Maojie(Department of Pharmacy,Chongqing Seventh People's Hospital,Chongqing,400054 China)
出处 《中国卫生产业》 2021年第3期50-52,共3页 China Health Industry
关键词 抗菌药物 用药管理 临床合理用药 Antibacterial drugs Medication management Clinical rational use of drugs
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