小儿腹股沟疝修补术围手术期预防用药干预管理与效果评价

发布时间：2018-03-22 15:08

  本文选题：小儿　切入点：腹股沟疝　出处：《中国医院药学杂志》2017年15期 　论文类型：期刊论文

【摘要】：目的:评价小儿腹股沟疝修补术围手术期预防用药的干预管理效果,探索适合小儿腹外疝修补术预防用药的干预模式。方法:选取2011年手术病例作为非干预组,回顾性分析围手术期预防用药存在的主要问题,将2012-2015年手术病例作为干预组,对围手术期抗菌药物预防使用率、平均预防用药天数、平均预防用药费用、平均住院天数、手术部位感染率等指标进行重点监控和干预管理。结果:经过4年干预管理,小儿腹股沟疝修补术围手术期抗菌药物预防使用率由干预前的100%下降为干预后的0%;平均预防用药天数由干预前的≤1 d下降为干预后的0d;平均预防用药费用由干预前的37.66元下降为干预后的0元;平均住院天数均≤1 d;干预前后手术部位感染率无显著性差异(P0.05)。结论:小儿腹股沟疝修补术围手术期预防用药干预措施具有可行性和有效性,对安全、有效、经济、合理地使用抗菌药物起到了积极的促进作用,为医院设计单病种临床路径和降低单病种费用提供了参考依据,也为进一步规范其它清洁手术预防用药提供了可操作性的干预模式。
[Abstract]:Objective: to evaluate the intervention and management effect of preventive medication in perioperative period of inguinal hernia repair in children, and to explore the intervention mode suitable for prevention of external hernia repair in children. Methods: the patients with inguinal hernia repair in 2011 were selected as non-intervention group. The main problems of prophylactic drug use in perioperative period were analyzed retrospectively. The cases of operation from 2012 to 2015 were used as intervention group. The utilization rate of antimicrobial agents, the average days of prophylactic drug use, the average cost of prophylactic drug use, the average days of hospitalization, and the duration of hospitalization in the perioperative period were analyzed retrospectively. The infection rate of surgical site was monitored and managed. Results: after 4 years of intervention management, The utilization rate of antimicrobial agents in perioperative period of inguinal hernia repair in children decreased from 100% before intervention to 0 after intervention, the average days of prophylactic medication decreased from 鈮，

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