| 张云芳,吴晓龙,宁桃丽,等.腰椎后路减压融合术 I类切口抗菌药物使用的干预效果分析[J].安徽医药,2020,24(10):2109-2112. |
| 腰椎后路减压融合术 I类切口抗菌药物使用的干预效果分析 |
| Intervention effect of antibiotics used in type I incision of lumbar posterior decompression and fusion |
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| DOI：10.3969/j.issn.1009?6469.2020.10.048 |
| 中文关键词: 抗生素预防 脊柱融合术 伤口愈合 腰椎 I类切口 干预 |
| 英文关键词: Antibiotic prophylaxis Spinal fusion Wound healing Lumbar vertebrae Type I incision Intervene |
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| 中文摘要: |
| 目的评价干预措施对腰椎后路减压融合术 I类切口抗菌药物使用的有效性和可行性。方法按随机数字表法抽取河南省洛阳正骨医院医院信息管理系统中腰椎后路减压融合术 I类切口手术出院病历 360份，分为对照组(2016年 1—9月)和干预组(2017年 1—9月)，每组各 180例。干预方法采取建立健全机构和制度、宣传教育、加强审方系统信息化管理和实施监督等措施，并对干预前后抗菌药物使用情况进行统计分析。结果与对照组相比，干预组抗菌药物术前给药时机正确率由 80.6%上升至 93.3%，用药疗程由(4.37±1.54)d缩短至(3.43±1.19)d，品种选择正确例数由 133例上升至 178例，抗菌药物费用由(1 136.50±603.34)元下降至(866.78±377.96)元，均差异有统计学意义(P＜0.05)两组间手术部位感染发生率差异无统计学意义(P＞0.05)。结论干预措施对促进腰椎后路减压融合术 I类切口抗菌药物的合，理使用具有有效性、可行性。 |
| 英文摘要: |
| Objective To evaluate the effectiveness and feasibility of interventions for the use of antibiotics in type I incision inposterior decompression and fusion of lumbar spine.Methods According to the random number table method，360 discharged pa?tients who underwent type I incision of lumbar posterior decompression and fusion were selected from the hospital information man?agement system of Luoyang Orthopedic Hospital of Henan Province and were divided into control group(January?September 2016) and intervention group(January?September 2017)，with 180 cases in each group.During the course of the intervention，a variety of intervention methods were adopted，such as establishing and improving institutions and systems，publicity and education，strengthen?ing the informatization management of the trial party system and implementing supervision.The use of antibiotics before and afterthe intervention was analyzed statistically.Results Compared with the control group，the timing accuracy of preoperative adminis? tration of antibiotics increased from 80.6% to 93.3% in the intervention group，the average duration of treatment decreased from |
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