摘要
目的探讨术前预防应用抗菌药对剖宫产术后切口感染的防治效果。方法抽选2013年3月—2014年3月入院的60例剖宫产患者为研究对象,随机分为对照组和观察组,前者术前不用药,后者于术前30 min静滴0.9%氯化钠溶液100 m L+1 g头孢曲松钠,术后均进行抗感染治疗,比较剖宫产术后情况。结果观察组细菌培养阳性率为10.00%(3/30),脓性渗出和盆腔炎发生率分别为3.33%(1/30)和0%,均优于对照组26.67%(8/30)、10%(3/30)和6.67%(2/30),P<0.05,差异有统计学意义;术后观察组WBC、CRP水平均低于对照组,退热时间(2.21±1.43)d短于对照组,P<0.05,差异有统计学意义。结论剖宫产术前预防应用抗菌药对术后感染有一定预防作用,联合术后抗感染,提高剖宫产术预后效果。
Objective To observe the effect of preventive medication for preventing incision infection before cesarean section. Methods 60 cases of cesarean section were randomly divided into two groups ,the observation group were taken by preoperative in-travenous infusion of 30min 100 mL＋1 g 0.9% Sodium Chloride Solution ceftriaxone sodium, anti infection treatment were taken postoperative. then to compare the incidence of infection in the two groups after operation. Results In the observation group, the positive rate of bacterial culture was 10%（3/30）, purulent exudate and pelvic infection rates were 3.33%（1/30） and 0%, 26.67 were better than the control group （8/30）, 10% （3/30） and 6.67% （2/30）, P〈0.05; postoperative observation of CRP level in group WBC, were lower than the control group, the cooling time （2.21 ±1.43） d shorter than that in control group, P〈0.05. Conclusion There were some preventive effect on cesarean section before the application of antibacterial drug prevention combined with postoperative infection,which improve the prognostic effect of cesarean section.
出处
《中外医疗》
2015年第2期40-41,共2页
China & Foreign Medical Treatment
关键词
剖宫产术
术前用药
抗菌药物
切口感染
Cesarean section
Preventive medication
Antibiotics
Infection of incision
