CAJ | 학술논문

目的：探讨冠状动脉支架置入术患者是否需要常规预防使用抗菌药物。方法回顾性分析2010年1月—12月156例(使用预防性抗菌药物组)和2014年1月—12月466例(未使用预防性抗菌药物组)冠状动脉支架置入术的临床资料,对比分析两组预防性使用抗菌药物情况及术后感染发生率。结果未使用和使用预防性抗菌药物组与支架植入术相关的感染如手术部位感染发生率分别为0.2％,1.3％(P>0.05)；血管相关性感染发生率分别为0.6％,1.9％(P>0.05),以及与手术无直接相关的感染发生率差异无统计学意义(P>0.05)。结论冠状动脉支架置入术患者无需常规预防性使用抗感染药物。
목적：탐토관상동맥지가치입술환자시부수요상규예방사용항균약물。방법회고성분석2010년1월—12월156례(사용예방성항균약물조)화2014년1월—12월466례(미사용예방성항균약물조)관상동맥지가치입술적림상자료,대비분석량조예방성사용항균약물정황급술후감염발생솔。결과미사용화사용예방성항균약물조여지가식입술상관적감염여수술부위감염발생솔분별위0.2％,1.3％(P>0.05)；혈관상관성감염발생솔분별위0.6％,1.9％(P>0.05),이급여수술무직접상관적감염발생솔차이무통계학의의(P>0.05)。결론관상동맥지가치입술환자무수상규예방성사용항감염약물。
Objective To analyze whether routine prophyrlactic antibiotic administration is necessary for the patients undergoing coronary stent implantation. Methods The clinical data of 156 patients from January 2010 to December 2010 (prophylactic antibiotic therapy),and 466 patients from January 2014 to December 2014(no-prophylactic antibiotic therapy), who underwent coronary stent implantation, were retrospectively analyzed. The prophylactic antibiotics and the infection rates in two groups were compared. Results The rate of infections related to coronary stent implantation in no-prophylactic antibiotic therapy group and prophylactic antibiotic therapy group, such as surgical site infection (0.2% vs 1.3%,P>0.05) and catheter-related infection(0.6% vs 1.9%,P>0.05), was not significant different(P>0.05). Similarly, the unrelated to coronary stent implantation was not significant different, too ( P > 0. 05). Conclusion Routine prophylactic antibiotic administration is unnecessary for the patients undergoing coronary stent implantation.