中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
11期
14-14,16
,共2页
妇产科%围手术期%抗生素%预防
婦產科%圍手術期%抗生素%預防
부산과%위수술기%항생소%예방
Obstetrics and Gynecology Department%Peri-operation period%Antibiotics%Prevention
目的：探讨妇产科手术预防性应用抗生素的临床疗效。方法：收治行妇产科手术患者368例，按就诊顺序编号分为对照组和观察组，每组184例。其中对照组于围手术期常规性应用抗生素，观察组则预防性应用抗生素，于术后比较两组的热退时间、最高体温、发病率、感染率、不良反应、抗生素人均使用量、药物费用及住院时间等指标。结果：术后，两组的热退时间比较差异无统计学意义(P＞0.05)；观察组的最高体温、发病率及感染率均低于对照组，比较差异有统计学意义(P＜0.05)；两组的术后不良反应发生率、抗生素人均使用量、药物费用及住院时间比较差异均具有统计学意义(P＜0.05)。结论：于妇产科围手术期预防性应用抗生素可有效预防疾病复发和感染，同时还可降低术后不良反应的发生率，缩短住院时间，减轻患者的经济负担。
目的：探討婦產科手術預防性應用抗生素的臨床療效。方法：收治行婦產科手術患者368例，按就診順序編號分為對照組和觀察組，每組184例。其中對照組于圍手術期常規性應用抗生素，觀察組則預防性應用抗生素，于術後比較兩組的熱退時間、最高體溫、髮病率、感染率、不良反應、抗生素人均使用量、藥物費用及住院時間等指標。結果：術後，兩組的熱退時間比較差異無統計學意義(P＞0.05)；觀察組的最高體溫、髮病率及感染率均低于對照組，比較差異有統計學意義(P＜0.05)；兩組的術後不良反應髮生率、抗生素人均使用量、藥物費用及住院時間比較差異均具有統計學意義(P＜0.05)。結論：于婦產科圍手術期預防性應用抗生素可有效預防疾病複髮和感染，同時還可降低術後不良反應的髮生率，縮短住院時間，減輕患者的經濟負擔。
목적：탐토부산과수술예방성응용항생소적림상료효。방법：수치행부산과수술환자368례，안취진순서편호분위대조조화관찰조，매조184례。기중대조조우위수술기상규성응용항생소，관찰조칙예방성응용항생소，우술후비교량조적열퇴시간、최고체온、발병솔、감염솔、불량반응、항생소인균사용량、약물비용급주원시간등지표。결과：술후，량조적열퇴시간비교차이무통계학의의(P＞0.05)；관찰조적최고체온、발병솔급감염솔균저우대조조，비교차이유통계학의의(P＜0.05)；량조적술후불량반응발생솔、항생소인균사용량、약물비용급주원시간비교차이균구유통계학의의(P＜0.05)。결론：우부산과위수술기예방성응용항생소가유효예방질병복발화감염，동시환가강저술후불량반응적발생솔，축단주원시간，감경환자적경제부담。
Objective:To explore the clinical effect of prophylactic application of antibiotics in obstetrics and gynecology operation.Methods:368 patients who were treated with obstetrics and gynecology operation were selected,they were divided into the control group and the observation group with 184 cases in each according to the order of treatment.The control group was treated by routine application of antibiotics in peri-operation period;the observation group was treated with the antibiotic application of antibiotics.After operation,some indicators of the two groups were compared,such as antipyretic time,the highest temperature,morbidity,infection rate,adverse reactions,the per capita amount of antibiotics,drug expense,the hospitalization time and so on.Results:After operation,the difference of antipyretic time between the two groups was not significant(P>0.05);in the observation group,the highest temperature,the incidence and infection rate were lower than the control group,the difference was statistically significant(P<0.05);the differences of postoperative incidence of adverse reactions,the per capita amount of antibiotics,drug expense and the hospitalization time between the two groups was statistically significant(P<0.05).Conclusion:The preventive application of antibiotics in obstetrics and gynecology operation can effectively prevent the recurrence of the disease and infection,reduce the incidence of adverse reaction after operation,shorten the hospitalization time,reduce the economic burden of the patients.
