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目的探讨剖宫产围手术期抗菌药物用药现状及合理性。方法采用回顾性调查方法,随机抽取郑州市第一人民医院2010年6～12月剖宫产手术病历300份,填写患者基本情况和用药情况调查表,进行调查分析。结果调查显示,所选病历100%预防性使用了抗菌药物,没有因使用抗菌药物而出现严重不良反应,所有病例切口全部甲级愈合,临床效果满意。结论围手术期合理应用抗菌药物可显著降低手术部位感染的发生率,对于防止院内感染、控制耐药菌的传播以及降低医疗费用有着积极意义。
Objective To investigate the status and rationality of perioperative antimicrobial medication in cesarean section. Methods A retrospective survey method was used to randomly select 300 cesarean section records from June to December 2010 in Zhengzhou First People ’s Hospital. Fill in the questionnaire about the basic condition and medication of patients and conduct investigation and analysis. Results of the survey showed that 100% of the selected medical records used prophylactic antibiotics, no serious adverse reactions due to the use of antibiotics, all cases of incision grade A healed, the clinical effect is satisfactory. Conclusion Perioperative rational use of antimicrobial agents can significantly reduce the incidence of surgical site infection for the prevention of nosocomial infections, control of spread of resistant bacteria and reduce medical costs have a positive meaning.