【摘要】：目的探討婦科清潔手術患者圍術期預防用抗菌藥物的指征,為規(guī)范婦科清潔手術患者圍術期預防用藥提供參考。方法選取醫(yī)院2013年3月-2015年2月全部婦科清潔手術病例(剔除手術前已診斷感染的病例)1 057例,采用回顧性調查及電話回訪相結合的方法,按是否合并其他情況分為未合并其他情況和合并其他情況包括:(年齡≥65歲、手術持續(xù)時間≥3h、盆腔積血或術中出血1500ml、糖尿病、手術部位≥2個、盆腔粘連、慢性盆腔炎和陰道炎治療后)兩個組,對比分析不同人群預防用抗菌藥物和未預防用抗菌藥物患者手術部位感染(SSI)的情況。結果 1 057例婦科清潔手術患者SSI率為0.76%,其中未合并其他情況組397例,SSI率0.50%;合并其他情況組660例,SSI率0.91%;未合并其他情況組:未預防用抗菌藥物患者SSI率0.68%,預防用抗菌藥物患者SSI率0.40%,差異無統(tǒng)計學意義;合并其他情況組:未預防用抗菌藥物患者SSI率0.85%,預防用抗菌藥物患者SSI率0.98%,差異無統(tǒng)計學意義。結論未合并其他情況的婦科清潔手術患者圍術期通常不需預防用抗菌藥物;合并其他情況的婦科清潔手術患者圍術期抗菌藥物預防效果有限,術前對合并其他情況進行積極干預和糾正治療,全面落實預防SSI的綜合措施更為重要。
[Abstract]:Objective to explore the indications of prophylactic antimicrobial agents in patients undergoing gynecological cleaning surgery during perioperative period, and to provide reference for standardizing the perioperative prophylactic use of antibiotics in gynecological clean surgery patients. Methods from March 2013 to February 2015, 1 057 cases of gynecological cleaning operation (excluding those diagnosed before operation) were selected, and the methods of retrospective investigation and telephone return visit were used. According to whether the other cases were combined or not, they were divided into two groups: age 鈮，

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