首页|基于真实世界的集中带量采购品种注射用头孢呋辛钠预防剖宫产术后感染的临床再评价

基于真实世界的集中带量采购品种注射用头孢呋辛钠预防剖宫产术后感染的临床再评价

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目的:评价集中带量采购品种注射用头孢呋辛钠与进口注射用头孢呋辛钠预防剖宫产术后感染的有效性与安全性。方法:回顾性选取 2021 年 7 月至 2022 年 5 月于北京市通州区妇幼保健院产科行剖宫产术的患者 280 例,按照应用抗菌药物品种的不同进行分组。A组患者使用进口注射用孢呋辛钠预防感染,B组患者使用集中带量采购品种注射用头孢呋辛钠预防感染。比较两组患者预防感染的效果与不良反应发生情况。结果:两组患者术中出血量、抗菌药物使用疗程和住院时间的差异均无统计学意义(P>0。05)。两组患者术后 24 h白细胞计数、中性粒细胞比率的差异无统计学意义(P>0。05)。两组患者用药后,发热、术后感染(产褥感染、切口感染和泌尿系统感染等)发生率的差异无统计学意义(P>0。05)。两组患者不良反应发生率均较低,且差异无统计学意义(P>0。05)。结论:集中带量采购品种注射用头孢呋辛钠在预防剖宫产术后感染方面的有效性、安全性与进口注射用头孢呋辛钠相当,且由于其成本较低,具有较高经济性,可广泛应用于剖宫产预防感染。
Clinical Re-Evaluation on Centrally Purchased Cefuroxime Sodium for Injection in Preventing Infection After Cesarean Section:A Real-world Study
OBJECTIVE:To evaluate the efficacy and safety of centrally purchased cefuroxime sodium for injection and imported cefuroxime sodium for injection in preventing infection after cesarean section.METHODS:A total of 280 patients undergoing cesarean section in obstetrics of Tongzhou Maternal and Child Health Care Hospital of Beijing from Jul.2021 to May 2022 were retrospectively selected to be grouped according to different types of antibiotics.Group A was given imported cefuroxime sodium for injection in preventing infection,and group B received centrally purchased cefuroxime sodium for injection in preventing infection.Effect of infection prevention and incidence of adverse drug reactions were compared between two groups.RESULTS:There was no significant difference between two groups in amount of bleeding during surgery,treatment course of antibiotics and length of stay(P>0.05).There was no significant difference in the ratio of leukocytes and neutrophils between two groups at 24 hours after surgery(P>0.05).There was no statistically significant difference in the number of fever cases and postoperative infection rate(puerperal infection,incision infection and urinary system infection)between two groups(P>0.05).The incidence of adverse drug reactions in both groups was lower,and the difference was not statistically significant(P>0.05).CONCLUSIONS:Compared with imported cefuroxime sodium for injection,the efficacy and safety of centrally purchased cefuroxime sodium for injection are comparable in the prevention of postoperative infection after cesarean section.Due to the lower cost and higher economy,it can be widely used in the prevention of infection after cesarean section.

Centralized purchasingCefuroxime sodiumEfficacySafety

袁倩倩、马月静、刘莹、张相林、覃旺军

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北京市通州区妇幼保健院药剂科,北京 101100

中日友好医院药学部,北京 100029

集中带量采购 头孢呋辛钠 有效性 安全性

中央高水平医院临床科研业务费项目

2022-NHLHCRF-YSPY-02-05

2024

中国医院用药评价与分析
中国医药生物技术协会,中国药房杂志社

中国医院用药评价与分析

CSTPCD
影响因子:1.142
ISSN:1672-2124
年,卷(期):2024.24(3)
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