【摘要】：目的探討不同時(shí)機(jī)給予抗菌藥物對剖宮產(chǎn)產(chǎn)婦術(shù)后感染的影響,為臨床合理應(yīng)用抗菌藥物提供依據(jù)。方法選取剖宮產(chǎn)產(chǎn)婦120例,隨機(jī)分為兩組,A組61例、B組59例;A組產(chǎn)婦在術(shù)前30min給予抗菌藥物,術(shù)后不使用抗菌藥物;B組產(chǎn)婦術(shù)前不使用抗菌藥物,在術(shù)后連續(xù)使用3d抗菌藥物,對兩組產(chǎn)婦感染發(fā)生、傷口愈合、術(shù)后住院時(shí)間以及住院費(fèi)用采用SPSS13.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果產(chǎn)婦感染率A組為6.56%、B組為8.47%;產(chǎn)婦切口甲級及乙級愈合率A組分別為98.36%和1.64%,B組分別為98.31%和1.69%,兩組產(chǎn)婦均無丙級愈合者;產(chǎn)婦最高體溫A組(37.79±0.32)℃、B組為(38.11±0.29)℃,兩組比較差異均無統(tǒng)計(jì)學(xué)意義;產(chǎn)婦住院時(shí)間和住院費(fèi)用A組產(chǎn)婦均明顯少于對照組,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論剖宮產(chǎn)術(shù)前30min單次給藥與術(shù)后連續(xù)使用3d抗菌藥物相比均不增加感染率,也不影響傷口愈合,而且用藥療程短、術(shù)后住院時(shí)間短和住院費(fèi)用均較少,因此在術(shù)前30min給予產(chǎn)婦抗菌藥物應(yīng)用以預(yù)防剖宮產(chǎn)術(shù)后感染是一種較為理想的給藥方式。
[Abstract]:Objective to explore the effect of antibiotics given at different times on postoperative infection of cesarean section women, and to provide evidence for rational use of antibiotics in clinic. Methods 120 cases of cesarean section were randomly divided into two groups: group A (61 cases) and group B (59 cases). In group B, no antibiotics were used before operation, and antibiotics were used continuously for 3 days after operation. The incidence of infection, wound healing, postoperative hospitalization time and hospitalization expenses were analyzed by SPSS13.0 software. Results the rate of maternal infection in group A was 8.477.The rate of wound healing in group A and B was 98.36%, 98.31% and 1.69g, respectively. The highest body temperature of parturient was (37.79 鹵0.32) 鈩，

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