CAJ | 학술논문

目的探讨整形外科Ⅰ类切口手术预防性应用抗生素的合理方案.方法采用回顾性对照研究,对比观察748例整形外科Ⅰ类切口住院患者围手术期不给药及不同给药方式的临床感染率.结果多天数给药组(A组)、规范给药组(B组)、不给药组(C组)3个组别互相比较,其预防术后感染的效果差异无统计学意义.结论整形外科大多数Ⅰ类切口不需预防性应用抗生素,特殊情况者严格按照《抗菌药物临床应用指导原则》进行给药即可达到良好的临床疗效.
목적 탐토정형외과Ⅰ류절구수술예방성응용항생소적합리방안.방법 채용회고성대조연구,대비관찰748례정형외과Ⅰ류절구주원환자위수술기불급약급불동급약방식적림상감염솔.결과 다천수급약조(A조)、규범급약조(B조)、불급약조(C조)3개조별호상비교,기예방술후감염적효과차이무통계학의의.결론 정형외과대다수Ⅰ류절구불수예방성응용항생소,특수정황자엄격안조《항균약물림상응용지도원칙》진행급약즉가체도량호적림상료효.
Objective To investigate the reasonable proposal of prophylactic antibiotics use in plastic surgery with type Ⅰ incision.Methods The data of 748 patients with plastic surgery in our hospital were collected and the operation number was 770.Using a retrospective case-control study,we analysed the clinical effect of different administration methods.Results Clinical effects were compared among the multiple days medication group,normative administration group and no medication groups,and there was no significant difference in the prevention of postoperative infection results.Conclusions Plastic surgery with type Ⅰ incision does not need the prophylactic application of antibiotics.In special circumstances we should take medicine in strict accordance with the "Guiding Principles for Clinical Application of Antibiotics".