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目的分析抗菌药在妇产科患者临床治疗中的作用及使用情况。方法选取2014年6月—2015年10月乾安县人民医院收治的88例妇产科疾病患者,回顾性分析患者的临床资料,统计分析患者所使用的各种抗菌药、具体剂量、应用效果、具体使用时间以及联合用药情况等。结果 88例患者使用的抗菌药类别主要包括甲硝唑类、青霉素类以及头孢类等,其中常用药物包括甲硝唑、青霉素、头孢曲松及阿奇霉素等,以甲硝唑的使用率最高。88例患者中40例为预防性用药,占45.5%,其余48例患者为治疗用药。其中一联用药占20.5%,二联用药占62.5%,三联用药占13.6%,滥用抗菌药占3.4%。结论抗菌药在妇产科患者临床治疗中可获得一定的治疗效果,但易出现滥用现象,卫生部门应严格监督、管理抗菌药的使用,降低不合理用药行为发生率。
Objective To analyze the effect and usage of antibacterials in the clinical treatment of obstetrics and gynecology patients. Methods 88 patients with obstetrics and gynecology were admitted to Qian’an People’s Hospital from June 2014 to October 2015. The clinical data of the patients were retrospectively analyzed. The antimicrobial agents used in the patients were statistically analyzed, the specific dosage, the application effect, The specific use of time and the combination of medication and so on. Results The antibacterials used in 88 patients mainly included metronidazole, penicillins and cephalosporins. Among them, metronidazole, penicillin, ceftriaxone and azithromycin were the most commonly used drugs in order to use metronidazole the highest. Of the 88 patients, 40 were prophylactic, accounting for 45.5%, and the remaining 48 were for therapeutic use. Among them, 20.5% were combined with one drug, 62.5% with two combined drugs, 13.6% with triple combined drugs and 3.4% were abused antibacterials. Conclusion Antibacterials can get some therapeutic effects in the treatment of obstetrics and gynecology patients, but prone to abuse, the health department should strictly supervise and administer the use of antimicrobial agents to reduce the incidence of irrational drug use behavior.