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目的:分析浙江省丽水市人民医院2012年口腔颌面外科住院患者的临床用药情况。方法:选取浙江省丽水市人民医院口腔颌面外科2011~2013年住院患者病历200份,调查抗菌药物的使用情况。结果:颌面部肿物92例(46%),唇腭裂25例(12.5%),颌面部外伤21例(10.5%),颌面部炎症8例(4%),颌面部畸形34例(17%),其他20例(10%)。其中,194例使用抗菌药物,占97%。单一用药的23例,占11.79%;二联用药的138例,占70.77%;三联用药的34例,占17.44%;使用频次上,前三位分别是头孢呋辛钠、替硝唑和环丙沙星;从使用抗菌药物的时间分析,2~3天者119例,占61.03%;4~7天者63例,占32.31%;8天以上者13例,占6.66%。从给药方式上看,全部采取静脉给药。结论:口腔颌面外科住院病人的抗菌药物使用较为合理,但依然存在部分问题,需要加以整改。
Objective: To analyze the clinical use of oral and maxillofacial inpatients in Lishui People’s Hospital of Zhejiang Province in 2012. Methods: 200 medical records of inpatients from 2011 to 2013 in Oral and Maxillofacial Surgery of People’s Hospital of Lishui City, Zhejiang Province were selected to investigate the use of antibacterials. Results: 92 cases (46%) of maxillofacial masses, 25 cases (12.5%) of cleft lip and palate, 21 cases of maxillofacial trauma (10.5%), 8 cases of maxillofacial inflammation (4%), maxillofacial deformities Cases (17%), the other 20 cases (10%). Among them, 194 cases of antibiotics, accounting for 97%. Single use of 23 cases, accounting for 11.79%; 138 cases of dual drug use, accounting for 70.77%; triple drug use in 34 cases, accounting for 17.44%; frequency of use, the top three were cefuroxime sodium, tinidazole and ring Ciprofloxacin; from the time of use of antibacterial drugs, 119 cases of 2 to 3 days, accounting for 61.03%; 4 to 7 days in 63 cases, accounting for 32.31%; 8 days or more in 13 cases, accounting for 6.66%. From the way of administration, all take intravenous administration. Conclusion: The use of antimicrobial agents in inpatients of oral and maxillofacial surgery is more reasonable, but some problems still exist and need to be rectified.