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目的了解剖宫产围手术期抗菌药物使用现状,提高临床合理用药水平。方法采用回顾性调查方法,随机抽取2010年1月产科剖宫产手术出院患者47例,对剖宫产围手术期用药品种及频度、用药时间、联合用药等情况进行分析。结果 47例剖宫产全部使用抗菌药物,使用频度最高的药物为奥硝唑、头孢米诺和拉氧头孢,68.09%的患者用药时间为3 d,97.9%的患者二联用药,头孢米诺和拉氧头孢药物利用指数(DUI)>1。结论剖宫产围手术期抗菌药物应用基本合理,但部分药物的使用尚需进一步规范。
Objective To understand the current status of perioperative antibiotic use in cesarean section and to improve the clinical reasonable medication level. Methods A retrospective survey was conducted to select randomly 47 cases of discharged patients who underwent cesarean section in January 2010 and analyze the types and frequencies of perioperative patients during cesarean section. Results 47 cases of cesarean section were all used antibacterial drugs, the most frequently used drugs were ornidazole, cefminoxime and deoxythiazoxe, 68.09% of the patients medication for 3 days, 97.9% of the patients in combination therapy, cefmia Novozymes and lorazepam drug use index (DUI)> 1. Conclusion Cesarean section perioperative application of antimicrobial drugs is reasonable, but the use of some drugs still need to be further standardized.