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目的:了解妇产科围术期患者抗生素的应用时间及频度,为临床合理用药提供依据。方法:回顾金华市妇幼保健院2014年1月~2015年12月之间妇产科行手术治疗的949名患者,分别统计患者的切口类型、抗生素使用率、使用时间及合理性等。结果:本次统计的949例患者中包括I类切口177例,II类切口772例,所有患者均在围术期应用抗生素,I类切口甲级愈合率为98.0%,II类切口甲级愈合率为96.9%;用药时间不合理占22.2%,包括术前未用药24例,占11.4%,术前超时间用药37例,占17.5%,术后超时间用药150例,占71.1%。结论:目前妇产科围术期患者抗生素应用率较高,尤其在应用时间上仍存在明显的不合理用药情况,应当加强抗生素的应用管理,确保合理用药。
Objective: To understand the application time and frequency of antibiotics in perioperative patients in obstetrics and gynecology, and to provide basis for clinical rational drug use. Methods: A retrospective review was made on 949 patients undergoing gynecological surgery in Jinhua MCH from January 2014 to December 2015. The types of incision, antibiotic use rate, duration of use and rationality of patients were calculated. Results: The 949 patients included 177 cases of type I incision and 772 cases of type II incision. All patients underwent perioperative antibiotics. Class I incision grade A healing rate was 98.0%, type II incision grade A healing The rate was 96.9%. The medication time was unreasonable, accounting for 22.2%, including 24 cases without preoperative medication (11.4%), 37 cases with ultra-time preoperative medication (17.5%), and 150 cases with ultra-time medication (71.1%). Conclusion: The prevalence of antibiotics in perioperative patients is relatively high at present. In particular, there are still obvious unreasonable drug use cases at the time of application. Application management of antibiotics should be strengthened to ensure rational drug use.