文档介绍：年第卷第期
2010 19 16 药事组织
临床药师干预门诊外科围手术期预防用抗菌药物的对照研究
成明建,陈少仪,薛建文
广东省云浮市人民医院,广东云浮
527300
探讨临床药师的干预对门诊外科围手术期预防使用抗菌药物的影响采用回顾性分析方法,随机抽取本院门诊外科
摘要目的。方法
类类切口手术患者,以年干预前的例作为非干预组, 年干预后的例作为干预组,调查分析干预前后围手术期
Ⅰ、Ⅱ 2007 232 2009 243
预防使用抗菌药物的情况结果抗菌药物使用率非干预组为,干预组为干预组较非干预组抗菌药物平均费
。 86. 64% 58. 02% P < 0. 01
用降低元,降低了药品不良反应发生率由干预前的降至干预后的术前用药
61. 1 62. 03% P < 0. 01 13. 36% 2. 88% P < 0. 01 30 min
率由干预前的上升至干预后的切口感染率两组没有明显区别术后用药时间超过的由干预前的降至干预
7. 76% 54. 73% 48 h 27. 59%
后的品种选择不当率由干预前的降至干预后结论通过药师提供有效的药学服务和干
5. 35% P < 0. 01 22. 84% 3. 29% P < 0. 01 。
预,可明显改善门诊外科围手术期预防使用抗菌药物的合理性
。
关键词临床药师门诊外科围手术期抗菌药物干预
中图分类号文献标识码文章编号
R969. 3 R978. 1 R952 A 1006 - 4931 (2010 )16 - 0047 - 02
Control Study on Clinical Pharmacists Interfering with Preventive Use of
Perioperative Antibacterials in Outpatient Surgery
Cheng Mingjian, Chen Shaoyi, Xue Jianwen
( People s Hospital of Yunfu City, Yunfu, Guangdong, China 527300 )
Abstract: Objective To discuss the influence of clinical pharmacists intervention on preventive use of perioperative antibacterials in
outpatient surgery. Methods A retrospective study was conducted, in which 475 patients with grade Ⅰ or Ⅱ incision in outpatient surgery
received the preventive use of perioperative antibacterials. 232 patients in 2007 ( before intervention) were as non - intervention group, 243
patients in 2009 ( after intervention) were as i