今日药学

2016, v.26(08) 582-585

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

4种心脏瓣膜置换术围术期抗菌药物应用合理评价
Reasonable Evaluation with Application of Antibiotics in Perioperative Period in Patients undergoing 4 Kinds of Cardiac Valve Replacements

黄碧瑜;劳海燕;曾英彤;陈文颖;钟丽君;李小文;
HUANG Biyu;LAO Haiyan;ZENG Yingtong;CHEN Wenying;ZHONG Lijun;LI Xiaowen;Department of Pharmacy,Guangdong General Hospital,Guangdong Academy of Medical Sciences;School of Pharmaceutical Sciences,Guangdong Pharmaceutical University;

摘要(Abstract):

目的评价本院主动脉瓣机械(生物)瓣置换术、二尖瓣机械(生物)瓣置换术围术期抗菌药物应用的合理性。方法查阅2013~2014年本院4种心脏瓣膜置换术病历368例围手术期抗菌药物应用情况,运用本院制定的《分病种(手术)合理用药指标体系和评价细则》进行计算评分。结果所有病例围术期均使用抗菌药物,评价结果得分介于之间0~0.19,平均得分为0.070;一级指标中,用药过程得分最高,在0.212~0.226之间;二级指标中,术后用药时间得分最高,在0.96~0.99之间,其次是术后更换抗菌药物得分,在0.1~0.25之间。结论统计本院4种心脏瓣膜置换术围术期抗菌药物应用的大部分评价指标合理,但仍需强化术后用药时间以及术后更换抗菌药物的管理,以进一步提高临床合理用药水平。
OBJECTIVE To evaluate the rationality of the application of antimicrobial agents in the perioperative period of4 kinds of cardiac surgery( mechanical and biological aortic valve replacement,mechanical and biological mitral valve replacement) in the hospital. METHODS A total of 368 cases of 4 kinds of heart valve replacement surgery medical records of perioperative antibacterial drug application were collected in 2013-2014 in the hospital. The hospital developed Sub disease( surgery) rational Drug Use index System and Evaluation Rules was used to calculate the score. RESULTS Antimicrobial drugs were used in all cases in perioperative period. The evaluation scores ranged from 0 to 0.19,and the average score was 0.070. In the first grade index,the highest score in the course of medication was 0.212-0.226. In the second grade index,the highest score in the medication time after operation was in 0.96 to 0.99,followed by postoperative replacement of antibiotics in 0.1-0.25 score. CONCLUSION Statistics in the hospital4 kinds of cardiac valve replacement perioperative antimicrobial agents used in most of the evaluation index is reasonable. But the postoperative medication time and management of the replacement of antibacterial drug after operation still need to be strengthened,to further improve the level of rational use of drugs in the clinic.

关键词(KeyWords): 心脏瓣膜置换术;抗菌药物;围术期;合理评价
heart valve replacement;antimicrobial agents;perioperative period;reasonable evaluation

Abstract:

Keywords:

基金项目(Foundation): 广东省医学科研基金(A2016477)

作者(Author): 黄碧瑜;劳海燕;曾英彤;陈文颖;钟丽君;李小文;
HUANG Biyu;LAO Haiyan;ZENG Yingtong;CHEN Wenying;ZHONG Lijun;LI Xiaowen;Department of Pharmacy,Guangdong General Hospital,Guangdong Academy of Medical Sciences;School of Pharmaceutical Sciences,Guangdong Pharmaceutical University;

Email:

DOI:

参考文献(References):

扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享