OBJECTIVE: To provide reference for rational application of cephalosporins in the clinic. METHODS: The application of cephalosporins antibiotics in our hospital during 2010-2014 was analyzed dynamically in respects of consumption sum, DDD, DDC, DDDs, etc. RESULTS: During 2010-2014, the proportion of total consumption sum of antibiotics in total consumption sum kept below 30%, and decreased year by year, decreasing from 27.35% in 2010 to 14.70% in 2014. Among antibiotics, the consumption sum and DDDs of cephalosporins were the highest; consumption sum decreased year by year, decreasing from 44.50% in 2010 to 30.49% in 2014; DDDs increased year by year, increasing from 11.00×104 in 2012 to 14.22×104 in 2014. The consumption sum and DDDs of second generation cephalosporins were the highest. The consumption sum of cefotiam ranked the first place; DDDs of cefprozi ranked the first place during 2010-2011, while cefotiam ranked the first place during 2012-2014. DDC of cefpirome was the highest during 2010-2011, and that of cefamandole was the highest during 2012-2014, indicating it was expensive. The serial number ratio of cefprozi and cefuroxim was always >1 during those years, which indicated it was cheap and used frequently; that of most drugs were close to 1. CONCLUSIONS: The application of cephalosporins in our hospital tend to be rational, but the propaganda and supervision of rational use of antibiotics should be further strengthened.