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目的:分析妇产科围术期预防用抗菌药物干预前后情况,并作一对比。方法:选择2011年1—6月间妇产科I、II类手术病历230份作为非干预组;在进行一系列干预措施后,另选取2013年1—6月妇产科I、II类手术病历230份作为干预组;分析2组抗菌药物的使用情况。结果:I类切口手术预防性抗菌药物的使用率由干预前的100%降至干预后的40%,抗菌药物的合理用药率也由干预前的15.22%上升至72.41%;干预前围术期预防用抗菌药存在的主要问题,在干预后均有较好的控制。结论:实施的干预措施对规范妇产科围手术期抗菌药物的合理使用起到了积极的作用,但仍存在一定问题,有待进一步规范。
Objective: To analyze the situation of prevention and treatment of antimicrobial agents before and after perioperative period in obstetrics and gynecology and to make a comparison. Methods: A total of 230 obstetrics and gynecology class I and II surgical records were selected as non-intervention group from January to June in 2011. After a series of interventions, gynecology and obstetrics Class I and II were selected from January to June 2013 230 medical records as intervention group; analysis of the use of two groups of antimicrobial agents. Results: The effective rate of antibacterials used in class I incision surgery decreased from 100% before intervention to 40% after intervention, and the rational use rate of antibacterials increased from 15.22% before intervention to 72.41% The main problems with preventive antibacterials are better controlled after intervention. Conclusion: The interventions have played a positive role in regulating the rational use of perioperative antibiotics in obstetrics and gynecology. However, there are still some problems to be further regulated.