中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
29期
11-13
,共3页
疝,腹股沟%抗菌药%伤口感染
疝,腹股溝%抗菌藥%傷口感染
산,복고구%항균약%상구감염
Hernia,inguinal%Anti-bacterial agents%Wound infection
目的 探讨腹股沟疝无张力修补术是否需要常规预防性应用抗生素.方法 选择204例成年人腹股沟疝患者,根据入院先后顺序按1∶3比例随机分为治疗组(51例)和对照组(153例),治疗组术前使用第一代头孢菌素1次；对照组术前、术后均不使用抗生素,对比两组术后早期切口感染发生情况.结果 204例腹股沟疝患者中5例发生术后切口感染,其中治疗组1例,感染率2.0％(1/51),对照组4例,感染率2.6％(4/153),两组比较差异无统计学意义(x2=0.000,P=1.000).两组术后第3天白细胞计数、嗜中性粒细胞百分比及住院时间、住院费用比较差异无统计学意义(P＞0.05).结论 无高危因素的成年人腹股沟疝无张力修补术常规应用抗生素预防术后切口感染无实质性必要.
目的 探討腹股溝疝無張力脩補術是否需要常規預防性應用抗生素.方法 選擇204例成年人腹股溝疝患者,根據入院先後順序按1∶3比例隨機分為治療組(51例)和對照組(153例),治療組術前使用第一代頭孢菌素1次；對照組術前、術後均不使用抗生素,對比兩組術後早期切口感染髮生情況.結果 204例腹股溝疝患者中5例髮生術後切口感染,其中治療組1例,感染率2.0％(1/51),對照組4例,感染率2.6％(4/153),兩組比較差異無統計學意義(x2=0.000,P=1.000).兩組術後第3天白細胞計數、嗜中性粒細胞百分比及住院時間、住院費用比較差異無統計學意義(P＞0.05).結論 無高危因素的成年人腹股溝疝無張力脩補術常規應用抗生素預防術後切口感染無實質性必要.
목적 탐토복고구산무장력수보술시부수요상규예방성응용항생소.방법 선택204례성년인복고구산환자,근거입원선후순서안1∶3비례수궤분위치료조(51례)화대조조(153례),치료조술전사용제일대두포균소1차；대조조술전、술후균불사용항생소,대비량조술후조기절구감염발생정황.결과 204례복고구산환자중5례발생술후절구감염,기중치료조1례,감염솔2.0％(1/51),대조조4례,감염솔2.6％(4/153),량조비교차이무통계학의의(x2=0.000,P=1.000).량조술후제3천백세포계수、기중성립세포백분비급주원시간、주원비용비교차이무통계학의의(P＞0.05).결론 무고위인소적성년인복고구산무장력수보술상규응용항생소예방술후절구감염무실질성필요.
Objective To investigate the feasibility of tension-free inguinal hernia repair whether use of antibiotics prophylaxis.Methods A total of 204 cases of adult inguinal hernia were selected and they were divided into treatment group(51 cases)and control group(153 cases)under a hospital order by 1 ∶ 3 randomly.The patients in treatment group were treated by first-generation cephalosporin antibiotics once preoperatively,while the patients in control group received no antibiotics treatment.The incidence of early postoperative infection between two groups was compared.Results Among of 204 cases,5 cases developed surgical site infection,1 case from treatment group,infection rate was 2.0％ (1/51),while 4 cases from control group,infection rate was 2.6％(4/153).There was no significant difference in the infection rate between two groups(x2 =0.000,P =1.000).No significant difference was found in the results of complete white blood cell count,neutrophilic granulocyte ratio,hospital stays and hospital expenses between two groups(P ＞ 0.05).Conclusion There is no real need to apply regular antibiotics prophylaxis treatment for adult tension-free inguinal hernia repair without high risk factors.
