CAJ | 학술논문

目的：观察预防性应用抗生素对剖宫产围手术期患者的临床效果。方法：选取2013年4月至2014年1月在我院接受剖宫产手术的患者364例为研究对象，随机将其分为对照组180例和研究组184例。对照组采用术后开始应用抗生素的方法，而研究组采用术前、术中及术后均应用抗生素。术后常规应用2-3天，根据病情可延长应用时间，比较两组患者术后的临床效果。结果：1.实施不同治疗后，两组患者在术后体温、血象变化、退热时间、抗生素用量方面差异具有统计学意义(P<0.05)；2.两组间住院天数、术后药费及患者满意度方面差异有统计学意义(P<0.05)。结论：剖宫产围手术期预防性应用抗生素具有较好的临床效果，值得临床推广。
목적：관찰예방성응용항생소대부궁산위수술기환자적림상효과。방법：선취2013년4월지2014년1월재아원접수부궁산수술적환자364례위연구대상，수궤장기분위대조조180례화연구조184례。대조조채용술후개시응용항생소적방법，이연구조채용술전、술중급술후균응용항생소。술후상규응용2-3천，근거병정가연장응용시간，비교량조환자술후적림상효과。결과：1.실시불동치료후，량조환자재술후체온、혈상변화、퇴열시간、항생소용량방면차이구유통계학의의(P<0.05)；2.량조간주원천수、술후약비급환자만의도방면차이유통계학의의(P<0.05)。결론：부궁산위수술기예방성응용항생소구유교호적림상효과，치득림상추엄。
objective:to observe the clinical effect of the patients who prophylactic use of antibiotics in cesarean section perioperation .Method:we chose 364 patients who accepted cesarean section to be the object of study from 2013 April to 2014 January in our hospital,And were randomly divided into control group of 180 cases and 184 cases in the study group.The control group used antibiotics after operation,and the study group used antibiotics in preoperative, intraoperative and postoperative.The routine use 2-3 days and may extend the application of time according to the condition.Clinical effect after operation were compared between the two groups.Result:1. We found statistics significance between the two groups in postoperative temperature, change of hemogram, the cooling time, antibiotic dosage after different treatment(P<0.05);2.And we also found that it had statisticaly significant differences in the days of hospitalization、postoperative medication、expenses and patient satisfaction(P<0.05).Conclusion:It has good clinical effect of prophylactic application of antibiotics and is worth the clinical promotion.