论文部分内容阅读
目的:研究并分析腹腔镜胆囊围手术期抗菌药物应用情况。方法:选择我院在2013年2月到2014年2月收治的98例急性胆囊炎患者作为研究对象,按随机方式分为观察组与对照组,对其临床资料进行回顾性分析,统计抗菌药物使用情况。结果:在98例患者中,均使用抗菌药物,抗菌药物使用率为100%,其中32例手术前使用,90例手术后使用,54例术前术后都使用,平均用药时间为(12.6±1.3)d,患者体温正常后最长用药时间为4d。在使用种类与使用频率方面,98例患者中共使用7类抗菌药物,包括硝咪唑类、青霉素类、氨基糖苷类、喹诺酮类、头孢菌素类、大环内脂类、林可霉素类,其中硝咪唑类与青霉素类的用量是最大的。结论:在抗菌药物的使用方面,基本符合临床用药标准,但是在用药品种与用药时间方面也存在一些问题。为了保障治疗效果,在用药时,必须要严格遵循抗菌药物使用原则,合理使用抗菌药物,保障患者的用药安全。
Objective: To study and analyze the application of antimicrobial agents during perioperative period of laparoscopic cholecystectomy. Methods: A total of 98 patients with acute cholecystitis treated in our hospital from February 2013 to February 2014 were selected as study subjects and randomly divided into observation group and control group. The clinical data were retrospectively analyzed. Statistics of antibacterial drugs Usage. Results: Antimicrobial agents were used in 98 patients. The antibacterial drug use rate was 100%. 32 of them were used before surgery, 90 of them were used after operation, 54 of them were used before and after operation. The average medication time was 12.6 ± 1.3) d, the patient’s normal body temperature after the longest medication time 4d. Seven types of antimicrobial agents were used in 98 patients, including nimidazole, penicillins, aminoglycosides, quinolones, cephalosporins, macrolides, lincomycins, Among them, the use of nitrofurazone and penicillin is the largest. Conclusion: The use of antibacterial drugs basically meets the standard of clinical medication, but there are some problems in terms of medication varieties and medication time. In order to protect the treatment effect, in the medication, we must strictly abide by the principles of the use of anti-bacterial drugs, the rational use of anti-bacterial drugs to protect the patient’s medication safety.