The clinical application Analysis of special class of antibiotics in Department of Hepatobiliary Surgery / 中国基层医药

Objective To explore the clinical application of the special use of antibacterial drugs in Department of hepatobiliary surgery by analyzing the typical cases of the use of antibiotics.Methods This paper analyzes and comments on the typical cases of the use of special antibiotics in Department of hepatobiliary surgery.Results Department of hepatobiliary surgery the special use level of antibacterial drugs,should be based on the pathogenic characteristics of drug resistance and drug sensitivity test results and timely adjustment of antimicrobialtherapy,severe infection should be given sufficient medicines in a timely manner,should adjust the antibiotics dose according to liver and kidney function,drug dose attention to drugs with narrow therapeutic index,combined medication,caution should be avoided unnecessary repeat medication.Conclusion Through the analysis of the typical cases of the special use of antibiotics in Department of hepatobiliary surgery,it can promote the rational use of antibiotics.

Clinical application analysis of parenteral nutrition drugs / 中国基层医药

Objective To investigate the clinical application of parenteral nutrition drugs and promote the rational use of drugs.Methods The data of parenteral nutrition drugs used in our hospital were analyzed,including the quantity,the amount of money,the scope and purpose,etc.The rationality of drug use was reviewed by prescription comment simultaneously.Results On similar medicines comparison,the fat emulsion,amino acids (17) and glucose (11％) injection (1440mL) and fat emulsion and amino acids (18) injection (1 000mL),which were designed according to the basal metabolic rate in patients were far greater than the fat emulsion,amino acids(17) and glucose (11％) injection (1 920mL) of the added value of design.And the balanced amino acid preparations in compound amino acid in 18 AA-Ⅳ usage,was far greater than 18 AA-Ⅱ and 18 AA.Fat emulsion preparation with concentration of 20％ dosage was bigger,because the price advantage,ordinary long-chain fat milk consumption was greater than the long chain fatty milk.In terms of drug use rationality,the usage,dosage,compatibility and adverse reactions of parenteral nutrition drugs were analyzed.The dosage,frequency and compatibility problems still needed to be improved.Conclusion The use of parenteral nutrition drugs were basic reasonable,but we should strictly control the indications for parenteral nutrition support,such as drug compatibility,using frequency to strengthen management and reasonable application of drugs to improve medication safety.

Treatment of polycystic ovarian infertility with traditional Chinese medicine in 100 cases / 中国基层医药

Objective To summarize the clinical experience of using traditional Chinese medicine treatment of polycystic ovarian infertility .Methods According to the theory of traditional Chinese medicine for infertility due to post,will be divided into kidney deficiency,phlegm stagnation,qi stagnation and blood stasis,liver heat,syndrome dif-ferentiation .100 cases of PCOS were treated with the first set of Guizhi Fuling bolus (Jingui chamber) based decoc-tion.Results Following-up of 2 years,80 cases of pregnancy ,75 cases of Labour .Conclusion Traditional Chinese medicine in treating polycystic ovarian infertility can obviously improve the clinical symptoms ,worthy of promotion.