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目的:了解剖宫产术后患者应用抗菌药物的状况,并评价其应用的合理性。方法:采用回顾性调查方法,对785例剖宫产病历应用抗菌药物的不合理性进行分析。结果:抗菌药物应用不合理主要表现为:联合用药中的重复用药、预防性应用抗菌药物疗程过长、选药及用法不当等。结论:剖宫产术后预防性应用抗菌药物应按围术期给药方案,需采取干预措施控制预防性抗菌药物的滥用;对感染性疾病的治疗,应提倡采用药敏试验来选择抗菌药物。
Objective: To understand the application of antibiotics in patients after cesarean section and to evaluate the rationality of its application. Methods: A retrospective survey was conducted to analyze the irrationality of 785 cases of antibiotics used in cesarean section. Results: The irrational use of antimicrobial drugs mainly manifested as: repeated use of combination medication, prophylactic use of antimicrobial medication for too long, drug selection and improper use. CONCLUSIONS: Prophylactic antibacterials should be administered perioperatively after cesarean section and interventions should be taken to control the abuse of prophylactic antibacterials. In the treatment of infectious diseases, antibiotic susceptibility testing should be recommended .