剖宫产术围手术期用药的临床对策.doc

【摘要】 目的 探讨剖宫产术围手术期用药的临床对 策。方法80例行剖宫产术产妇，随机分成观察组和对照组， 各40例。观察组产妇采用围手术期抗感染用药治疗， 对照 组产妇采用围手术期常规用药治疗， 对比不同用药后的治 疗效果。结果 观察组产妇术后退热时间为(1.45± 1.07) d, 术后最高体温为(37.80± 0.20) °C, 术后腹部切口感染率 为2.5% ( 1/40), 产褥病发生率为 2.5% ( 1/40)；对照组产 妇术后退热时间为(2.68± 1.8) d,术后最高体温为(38.31 ± 0.28) °C, 术后腹部切口感染率为 15.0% (6/40), 产褥 病发生率为17.5% ( 7/40)；两组产妇术后退热时间、最高体 温及腹部切口感染率、产褥病发生率比较， 差异均有统计 学意义(Pv0.05) o结论 剖宫产术产妇在围手术期给予抗感 染用药治疗可明显缩短预防性使用抗菌药的使用时间， 降 低切口感染率及产褥病发生率。 【关键词】 剖宫产；围手术期；用药；临床对策 DOI : 10.14163/j.cnki. 11 -5547/r.2O16.33.069 Clinical countermeasures in perioperative medication of cesarean section WU Li-heng. Department of Obstetrics and Gyn ecology , Liaoning Yixian County Maternity and Child Care Hospital, Jinzhou 121100, China 【Abstract] Objective To investigate clinical countermeasures in perioperative medication of cesarean section. Methods A total of 80 puerpera receiving cesarean section were randomly divided into observation group and control group , with 40 cases in each group. The observation group received perioperative anti-inflammation medication treatment , and the control group received perioperative conventional medication treatment. Curative effects after different treatment were compared. Results The observation group had postoperative fever clearance time as (1.45± 1.07) d, postoperative maximal body temperature as ( 37.80±0.20) °C, postoperative infection rate of abdominal incision as 2.5% (1/40), and incidenee of puerperalism as 2.5% (1/40) . The control group had postoperative fever clearanee time as ( 2.68± 1.8) d, postoperative maximal body temperature as ( 38.31±0.28) °C, postoperative infection rate of abdominal incision as 15.0% (6/40 ), and incidence of puerperalism as 17.5% ( 7/40 ). The differences of postoperative fever clearance time , maximal body temperature, infection rate of abdominal incision and incidence of puerperalism all had statistical significance between the two groups ( P0.05) . Conclusion Implement of perioperative anti-inflammation medication treatmen