剖宫产术前预防性应用抗生素疗效观察.pdfVIP

淮海医药》2008年1月 第26卷 第1期 J Huaihai Med，January 2008，Vo1．26 ．1 剖宫产术前预防性应用抗生素疗效观察 何吕琼 【摘 要】 目的 观察剖宫产手术抗生素预防性用药的效果及探讨抗生素的使用方法。方法 将在我院同期分娩 的300例剖宫产病例随机分为2组。观察组：采用围手术期抗生素预防性用药，共162例；对照组：于术后应用抗生 素，共138例。对2组病例进行疗效观察。结果 观察组发生术后病率，子宫内膜炎明显低于对照组，有统计学差异； 发生腹壁切口感染，2组无统计学差异，但对照组与观察组比较有增高趋势。观察组抗生素用量明显低于对照组。结 论 术前预防应用抗生素，疗程短，效果好，可以降低费用。 【关键词】抗生素；剖宫产；预防 【中图分类号】 R719．8 【文献标识码】 A 【文章编号】 1008~044(2008)01-0025-02 A study of curative effect of prophylactic application of antibiotics in preoperative uterine--incision delivery HE Lu·· qiong．(Pengzhou People’s Hospital ofSichnan Province，Sichnan 611930，China) 【Abstract】 Objective To observe the effect of application of antibiotics contingency in uterine—incision delivery operation and investigate the method of appfication of antibiotics．Mechods 300 patients of uterine—incision delivery were divided into 2 groups in random．A is control group，a total of 1 62 patients，who received antibiotics prophylactic medication：B is treatment group，a total of 1 38 patients，who received antibiotics postoperatively．Their effects of treatment were compared．Results The incidence of endometritis of the treatment group was lower than that of the control group．There was significant difference(P 0．05)．Between group A and group B there Was no significant difference in the incidence ofabdominal wall infection ofincision wound，while there was gradual hoist trend in group A compared with group B．The dosage of antibiotics group in A was lower than that of group B remarkably．Conclusion The course of treatment by prophylactically using antibiotics in preoperation is sh0n，the effect is remarkable，and it Can help to ruduce the expense of treatment． 【Key words】 Antibiotics：Uterine—incision delivery：Prophylactic 剖宫产术是产科常见手术之一，它是一种创伤性 查2次，手术时间1 h以上，羊水污染Ⅱ。～Ⅲ。，重度 手术，故有发生感染的可能性，剖宫产术后预防