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目的:分析用药干预对某院Ⅰ类切口手术预防用抗菌药的影响。方法:采取回顾性调查方法,选取该院2013年4~12月收治的170例行Ⅰ类切口手术患者作为干预前组,另选2014年4~12月收治的173例行Ⅰ类切口手术患者作为干预组,比较预防用药比例、时机、药物选择和用药疗程方面的干预效果。结果:经过重点干预,干预前组Ⅰ类切口手术使用抗菌药比例为67.65%,干预组降至26.59%(P<0.01);预防用药时机不合理比例由15.88%降至4.63%,预防用药时间不合理比例由30.58%降至8.09%,联合用药由10.59%降至5.20%。结论:通过对Ⅰ类切口手术预防用药的干预,合理用药水平有了明显的升高,但仍需进一步的规范。
Objective: To analyze the influence of medication intervention on antimicrobial agents used in prevention of incision Ⅰ operation in a hospital. Methods: A retrospective survey method was used to select 170 cases of type Ⅰ incision surgery admitted to our hospital from April to December 2013 as the pre-intervention group, and 173 cases of type Ⅰ incision surgery admitted from April to December 2014 As an intervention group, the proportion of prophylaxis, timing, drug selection and treatment interventions were compared. Results: After intervention, the proportion of antimicrobial agents used in group Ⅰ incision was 67.65% in intervention group and 26.59% in intervention group (P <0.01). The proportion of prophylaxis time was reduced from 15.88% to 4.63% The unreasonable proportion dropped from 30.58% to 8.09% and the combination rate dropped from 10.59% to 5.20%. CONCLUSION: Through the intervention of type Ⅰ incision surgery preventive medication, the rational use of drugs has been significantly increased, but still need further specification.