目的 評價(jià)眼科醫(yī)院圍手術(shù)期預(yù)防用藥的現(xiàn)狀，以控制圍手術(shù)期全身使用抗菌藥物，促進(jìn)臨床安全合理使用抗菌藥物。方法 設(shè)計(jì)調(diào)查表，隨機(jī)抽取武漢愛爾眼科醫(yī)院白內(nèi)障科、青光眼科、眼底病科、眼眶科、斜弱視科、淚道科、角膜科7個(gè)科室2011年5—9月住院病歷各20份，總計(jì)140份。依據(jù)國家衛(wèi)生部頒發(fā)的《抗菌藥物臨床使用原則》，分析醫(yī)院圍手術(shù)期抗菌藥物的使用情況。結(jié)果 抽查的140份住院病歷，有118份為手術(shù)病歷，共做手術(shù)131例次，其中I類切口清潔手術(shù)96例，I類切口手術(shù)抗菌藥物全身預(yù)防使用率38.6%。結(jié)論 武漢愛爾眼科醫(yī)院眼科圍手術(shù)期抗菌藥物預(yù)防性使用率基本符合使用標(biāo)準(zhǔn)。

Objective To evaluate the prophylaxis status in eye hospital during the perioperative period, to control the systemic use of antimicrobial drugs, and to promote the rational and safe use. Methods Questionnaire was designed, 140 copies were randomly selected from May to September 2011 in-patient medical records, each of which was 20 copies including cataract, glaucoma, ocular fundus diseases, orbital diseases, oblique amblyopia, lacrimal passage diseases, and cornea diseases. Prophylaxis status of Wuhan Aier eye hospital during the perioperative period was analyzed in accordance with the Principle of Antimicrobial Drugs for Clinical Use by the Ministry of Health. Results Among all the 140 medical records, 118 were surgical records with 131 operation cases containing 96 cases of type I incision. The rate of the prophylactic use against bacterials in the 96 cases was 38.6%. Conclusion In Wuhan Aier Eye Hospital, the prophylactic use rate against bacterials during the perioperative period meets the needs of the utilization standard.