| 摘要: |
| ［摘要］ 目的 了解腰椎间盘髓核摘除术围手术期抗菌药物应用情况，为临床合理使用抗菌药物提供依据。方法 采用回顾性调查方法，对脊柱外科2008-01～2009-12腰椎间盘髓核摘除术的79份病历进行抗菌药物应用的统计分析。结果 79例手术患者围手术期抗菌药物使用率为100%，一联使用占55.69%，二联使用占43.04%，三联使用占1.27%；预防用药共4种，头孢菌素类占47.83%，而且多为二、三代头孢菌素类。结论 腰椎间盘髓核摘除术的预防用药存在使用率高、种类选用欠妥及用药时间过长等问题，应针对问题，抓住重点，进一步规范管理，促进抗菌药物合理使用。 |
| 关键词: 腰椎间盘髓核摘除术 围手术期 抗菌药物 应用调查 |
| DOI：10.3969/j.issn.1674-3806.2011.01.23 |
| 分类号:R 453.2 |
| 基金项目: |
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| Investigation of application of antibacterial drugs during the perioperative period of lumbar discectomy |
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WEI Shu-long
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Department of Infection Management，the People′s Hospital of Liucheng County,Guangxi 545200,China
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| Abstract: |
| ［Abstract］ Objective To investigate the use of antibacterial drugs during the perioperative period of lumbar discectomy in our hospital to provide a basis for reasonable application of these drugs.Methods The application of antibacterial drugs in 79 medial records of lumbar discectomy from January 2008 to December 2009 were retrospectively and statistically analyzed.Results In 79 cases of surgery,the use rate of perioperative antibacterial drugs was 100%.The use of single drug accounted for 55.69%; the use of two drugs accounted for 43.04% and the use of triple drugs accounted for 1.27%.A total of 4 kinds were used for prevention,of which cephalosporins accounted for 47.83%,which maily were the second and third generations of cephalosporins.Conclusion In the prophylactic application of antibacterial drugs in lumbar discectomy, there exists following questions:high utilization druy rate, wrong use of drugs types and long-term use ect. These problem must be addressed, the key to problem must be grasped and strengthened and the doctors must be trained in order to use antibacterial drugs reasonably. |
| Key words: Lumbar discectomy Perioperative period Antibacterial drugs Application investigation |
