腹股沟疝Ⅰ类切口手术围手术期抗菌药物管理的调查分析

发布时间：2018-04-27 04:43

本文选题：腹股沟疝 + Ⅰ类切口手术　；参考：《临床医药文献电子杂志》2016年53期

【摘要】：目的浅析腹股沟疝Ⅰ类切口手术围手术期抗菌药物管理情况,为今后抗菌药物的合理使用提供参考。方法选取2011年1月~12月我院收治的腹股沟疝患者158例作为实验组(抗生素不合理使用管理前),选取同期我院收治的腹股沟疝患者192例作为对照组(抗生素管理后),分析比较两组患者的抗菌药物品种、用量与术后创口感染的情况。结果实验组所有患者未使用抗菌药物的例数远远少于对照组;实验组患者围手术期抗菌药物的使用主要以头孢三代为主,对照组患者主要以头孢二代为主,且对照组抗菌药物的平均费用要优于实验组,差异有统计学意义(P0.05)。结论腹股沟疝Ⅰ类切口手术围手术期抗菌药物的使用存在极大的不合理性,用药合理性仍有改善提升的空间,需加强整治监督。
[Abstract]:Objective to analyze the management of antibiotics in perioperative period of inguinal hernia type I incision, and to provide reference for the rational use of antibiotics in the future. Methods 158 patients with inguinal hernia treated in our hospital from January to December 2011 were selected as experimental group (antibiotic irrational use before management) and 192 patients with inguinal hernia treated in the same period as control group (after antibiotic management). To analyze and compare the kinds of antimicrobial agents in the two groups of patients, Dosage and postoperative wound infection. Results the number of patients in the experimental group who did not use antimicrobial agents was much less than that in the control group, and the use of antibiotics in the experimental group was mainly in the third generation of cephalosporin and the second generation in the control group. The average cost of antimicrobial agents in the control group was better than that in the experimental group, and the difference was statistically significant (P 0.05). Conclusion the use of antibiotics in the perioperative period of inguinal hernia type I incision has great irrationality and there is room for improvement in the rationality of the use of antibiotics, so it is necessary to strengthen the improvement and supervision.
【作者单位】：红河州滇南中心医院;
【分类号】：R954

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