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目的:调查剖宫产手术围手术期抗菌药物使用情况并评价其合理性。方法:随机抽取我院2010年7月～2011年6月85例剖宫产术患者病历,对其围手术期抗菌药物使用情况进行回顾性调查。结果:围手术期抗菌药物使用率为100%,共涉及5大类12种抗菌药物,使用频率最高的是青霉素类72.94%,其次是硝基咪唑类和头孢菌素类,分别为54.12%、25.88%。首次用药时间在术前0.5h-2h内为58.82%,术后用药时间在2d-4d内占81.18%。结论:围手术期抗菌药物使用存在不合理现象,应缩短术后预防性抗菌药物使用时间。
Objective: To investigate the perioperative antimicrobial use and evaluate the rationality of cesarean section. Methods: A total of 85 cases of cesarean section in our hospital from July 2010 to June 2011 were enrolled in the study. The clinical data of antibiotics were retrospectively analyzed. Results: Perioperative antibacterials utilization rate was 100%, involving a total of 12 categories of antibacterial drugs in five categories, the highest frequency of use of penicillins 72.94%, followed by nitroimidazoles and cephalosporins, respectively, 54.12% 25.88%. The time of the first medication was 58.82% in 0.5h-2h before operation and 81.18% in 2d-4d after operation. Conclusion: Perioperative antimicrobial use of unreasonable phenomenon should be shortened postoperative preventive antibacterial drug use time.