新生兒抗生素應(yīng)用策略對(duì)治療結(jié)局的影響
發(fā)布時(shí)間:2018-05-24 09:58
本文選題:新生兒 + 抗生素應(yīng)用策略; 參考:《醫(yī)療裝備》2016年24期
【摘要】:目的探討新生兒抗生素應(yīng)用策略對(duì)治療結(jié)局的影響。方法選取2015年1—12月新生兒病室符合入組標(biāo)準(zhǔn)的住院患兒229例,隨機(jī)分為對(duì)照組(114例)和試驗(yàn)組(115例),兩組采用不同的抗生素應(yīng)用策略,對(duì)照組采用風(fēng)險(xiǎn)評(píng)估策略,試驗(yàn)組則使用風(fēng)險(xiǎn)評(píng)估聯(lián)合感染篩查及檢測(cè)策略,對(duì)兩組新生兒的平均住院日、抗生素使用率、再入院率和病死率進(jìn)行比較。結(jié)果對(duì)照組和試驗(yàn)組抗生素使用率分別為78.1%和58.3%,組間比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患兒住院時(shí)間比較差異無統(tǒng)計(jì)學(xué)意義,試驗(yàn)組再入院率和病死率均低于對(duì)照組,但差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論新生兒抗生素選用時(shí)選擇風(fēng)險(xiǎn)評(píng)估聯(lián)合感染篩查及檢測(cè)策略可有效降低抗生素的使用率,可在臨床中推廣應(yīng)用。
[Abstract]:Objective to investigate the effect of antibiotic application strategy on the outcome of the treatment of newborns. Methods 229 cases of hospitalized children were selected from 1 to December in 2015 and were randomly divided into the control group (114 cases) and the experimental group (115 cases). The two groups adopted different antibiotic application strategies, the control group adopted the risk assessment strategy and the test group used the wind. The average hospitalization day, antibiotic use rate, readmission rate and fatality rate were compared between the two groups of newborns. The use rate of antibiotics in the control group and the test group was 78.1% and 58.3% respectively. The difference was statistically significant (P0.05). There was no statistical difference in the hospitalization time between the two groups. Significance, the rate of readmission and mortality in the experimental group were all lower than those in the control group, but the difference was not statistically significant (P0.05). Conclusion the selection risk assessment combined with screening and detection strategies can effectively reduce the use of antibiotics and can be applied in clinical practice.
【作者單位】: 江西省黎川縣人民醫(yī)院;
【分類號(hào)】:R978.1
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本文編號(hào):1928637
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