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目的:探讨220例使用抗菌药物患者的临床状况及合理用药。方法:随机抽取2014年1月至2016年1月期间来该院各科室就诊的220例使用抗菌药物患者的临床资料进行回顾性分析。统计220例患者抗菌药物使用种类及使用率,分析患者抗菌药物联用情况及不合理因素。结果:头孢菌素类抗菌药物在220例患者中的使用率最高,使用率为28.18%。单用抗菌药物率63.64%(140/220),联用抗菌药物率为36.36%(80/220)。其中,二联患者32例,三联患者48例,使用率分别为14.55%、21.82%。患者用药不合理因素较多,患者围术期用药不当在各不合理因素中占的比例较大,为68.18%。结论:我院对患者使用抗菌药物使用时存在各种不合理因素,医院应加强临床抗菌药物监督,逐渐提高抗菌药物使用合理性。
Objective: To investigate the clinical status and rational use of drugs in 220 patients with antimicrobial agents. Methods: A retrospective analysis was performed on the clinical data of 220 patients using antimicrobial agents from January 2014 to January 2016 in various departments of the hospital. Statistical analysis of 220 types of patients using antimicrobial drugs and usage, analysis of patients with antimicrobial agents and unreasonable factors. Results: The highest use rate of cephalosporin antibiotics in 220 patients was 28.18%. The rate of antimicrobial agents alone was 63.64% (140/220), and the rate of antimicrobial agents was 36.36% (80/220). Among them, two cases of patients in 32 cases, triple patients in 48 cases, the utilization rates were 14.55%, 21.82%. Patients with irrational medication more irrational perioperative medication in each unreasonable factor accounted for a larger proportion of 68.18%. Conclusion: There are various irrational factors in the use of antimicrobial agents in our hospital. The hospital should strengthen the supervision of clinical antimicrobial agents and gradually improve the rational use of antimicrobial agents.