CAJ | 학술논문

目的：探讨糖尿病患者腹股沟疝无张力修补术是否需要常规预防性应用抗生素。方法回顾性分析2011年1月_2013年12月66例合并糖尿病的腹股沟疝手术患者，评价预防性使用抗生素的效果。结果2组患者手术前后体温比较差异无统计学意义（p ＞0,05）；且均在术后第3天体温恢复正常。2组患者术前、术后外周血白细胞计数比较差异无统计学意义（p ＞0,05）。说明是否应用抗生素对患者术后体温及白细胞计数无影响。患者住院期间均无切口感染表现，出院后第1、3、6、12个月电话随访，均未发生切口感染情况。结论对于糖尿病患者，围手术血糖控制是关键，围手术期不使用抗生素是可行的。
목적：탐토당뇨병환자복고구산무장력수보술시부수요상규예방성응용항생소。방법회고성분석2011년1월_2013년12월66례합병당뇨병적복고구산수술환자，평개예방성사용항생소적효과。결과2조환자수술전후체온비교차이무통계학의의（p ＞0,05）；차균재술후제3천체온회복정상。2조환자술전、술후외주혈백세포계수비교차이무통계학의의（p ＞0,05）。설명시부응용항생소대환자술후체온급백세포계수무영향。환자주원기간균무절구감염표현，출원후제1、3、6、12개월전화수방，균미발생절구감염정황。결론대우당뇨병환자，위수술혈당공제시관건，위수술기불사용항생소시가행적。
Objective To investigate the feasibility of tension_free repair of inguinal hernia without antibiotic prophy_laxis, Methods The clinical data of 66 diabetes patients underwent tension_free inguinal hernia repair form January 2011 to December 2013 were retrospectively analyzed, To evaluate the effect of prophylactic use of antibiotics, Results There was no significant differences in body temperature of 2 groups before and after operation(p > 0, 05), And the body temperature re_turned to normal in all patients on the third day after operation, There was no significant differences in peripheral white blood cell count of 2 groups before and after operation(p > 0, 05), This showed that whether to apply antibiotics had no effect on the postoperative body temperature and white blood cell count, All patients had no wound infection performance while in hospital, By telephone follow_up after the first,3,6,12 months,all patients had no wound infection performance, Conclusion perioper_ative blood sugar control is the key for diabetes patients, It is feasible to not use antibiotics in perioperative period.