Perioperative Use of Antibacterials in Patients Undergoing Appendectomy:Analysis of 240 Cases
- 药学院－已发表论文 
目的:了解我院阑尾炎手术患者围手术期抗菌药物的使用情况。方法:收集我院2007年7～12月出院的240例阑尾炎手术病历,对围手术期抗菌药物的品种选择、联合使用、用药时间、使用金额等情况进行统计分析。结果:全部阑尾炎手术患者均使用抗菌药物,其中联合用药占92.92%,住院费用与住院时间、用药选择、使用疗程密切相关。结论:阑尾炎手术患者围手术期的抗菌药物使用普遍存在疗程过长、无指征换药、药物选择起点高等现象,有必要加强我院外科手术预防性使用抗菌药物的管理,进一步提高抗菌药物合理使用率。OBJECTIVE:To study the perioperative use of antibacterials in patients undergoing appendectomy in our hospital. METHODS:The medical records of 240 patients undergoing appendectomy who were discharged from our hospital from July to Dec. in 2007 were collected for a statistical analysis in respect of drug variety,drug combination,medication time,consumption sum of antibacterials etc. RESULTS:All of the 240 cases received antibacterials,the rate of drug combination was 92.92%. The hospitalization fee closely related to length of stay,choice of drug variety and course of treatment. CONCLUSION:The perioperative use of antibacterials in patients undergoing appendectomy in our hospital is characterized by prolonged course of treatment,non-indicated drug change,high starting point in the choice of antibacterials etc. It is necessary to tighten control on the prophylactic use of antibacterials in surgical intervention in our hospital so as to raise the rational use rate of antibacterials.