【摘要】：目的:探討臨床藥師對宮腔鏡手術(shù)圍術(shù)期抗菌藥物使用實施干預(yù)的效果。方法:抽取2014年7-9月(干預(yù)前)、2014年10-12月(干預(yù)后)宮腔鏡手術(shù)治療的患者病歷各250份,對干預(yù)前后圍術(shù)期使用抗菌藥物的合理性進行回顧性分析。結(jié)果:經(jīng)干預(yù)后,抗菌藥物使用強度由47.02 DDDs/(100人·d)降至23.30 DDDs/(100人·d),使用率由82.40%降至57.20%,干預(yù)前后比較差異均有統(tǒng)計學(xué)意義(P0.01);宮腔鏡手術(shù)圍術(shù)期抗菌藥物用藥指征合理率由56.80%升至82.52%,用藥療程合理率由49.51%升至79.02%,干預(yù)前后比較差異均有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:臨床藥師干預(yù)宮腔鏡手術(shù)圍術(shù)期抗菌藥物使用是有效、可行的,能積極促進抗菌藥物的合理使用。
[Abstract]:Objective: to investigate the effect of clinical pharmacists on perioperative use of antibiotics in hysteroscopic surgery. Methods: 250 cases of hysteroscopic surgery were collected from July to September 2014 (before intervention) and October to December 2014 (after intervention). The rationality of using antimicrobial agents in perioperative period before and after intervention was analyzed retrospectively. Results: after intervention, the intensity of antimicrobial use decreased from 47.02 DDDs/ (100person-d) to 23.30 DDDs/ (d), usage rate decreased from 82.40% to 57.20%). The differences before and after intervention were statistically significant (P0.01). The rational rate of indication of antimicrobial use was increased from 56.80% to 82.52 and the reasonable rate of course of treatment was increased from 49.51% to 79.02. The difference was statistically significant before and after intervention (P0.05). Conclusion: it is effective and feasible for clinical pharmacists to intervene in perioperative use of antimicrobial agents in hysteroscopic surgery, and can actively promote the rational use of antimicrobial agents.
【作者單位】： 重慶市婦幼保健院藥劑科;
【分類號】：R969.3

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