我院肛肠科混合痔切除术抗菌药物应用分析

目的:了解我院肛肠科混合痔切除术抗菌药物的应用情况。方法:从我院2006年1～6月肛肠科4位主管医师的混合痔手术出院病历中各抽取30份,计4组120份,统计、分析患者的住院用药金额及用药情况。结果:我院肛肠科混合痔手术应用抗菌药物存在不合理之处,表现为用药指征不明、用药时机不当、持续用药时间过长等。在治疗效果相当的情况下,4组的平均住院用药金额存在显著性差异(P<0·05)。结论:我院仍需进一步完善《抗菌药物使用指南》,控制药费增长。

Utilization of Antibiotics in Patients Undergoing Hemorrhoidectomy in Our Hospital

OBJECTIVE： To investigate the use of antibiotics in patients undergoing hemorrhoidectomy in our hospital. METHODS： A total of 120 copies of discharge records of patients undergoing hemorrhoidectomy written by four doctors（30 copies/doctor） between Jan 2006 and Jun 2006 in proctology department were sampled and divided into four groups in accordance with different charging doctors, and a statistical analysis was carried out in respect of the drug consumption sum and medication data of these patients.RESULTS： The irrational use of antibiotics in patients undergoing hemorrhoidectomy in proctology department of our hospital manifested as unclear indications of medication, improper time of drug use, and the prolonged continuous drug use.There were significant differences among four groups in the average drug consumption sum（P〈 0.05） . CONCLUSION： The Guiding Principle of Clinical Use of Antibacterials in our hospital remains to be improved to keep the increase of drug costs under control.