摘要
目的:探讨围手术期抗生素预防剖宫产感染的投药时机。方法:将278例孕妇随机分为3组,Ⅰ组于麻醉开始同时单次静脉滴注头孢哌酮针3.0g,Ⅱ组在术前4h时同法用药,Ⅲ组术后开始连续用药3d或至体温正常,比较3组预防感染的效果。结果:Ⅰ、Ⅱ组的术后平均每日最高体温及连续2d≥38.0℃的例数明显比Ⅲ组低(少),并有显著差异(P<0.05);Ⅰ组又比Ⅱ组效果优。结论:剖宫产预防感染应选择在麻醉开始同时单次用抗生素。
Objective: To investigate the applicable period of prophylactic antibiotics of cesarean section delivery in perioperative period. Methods: 278 cases were divided into three groups, group I : single dose cefabid 3.0g, ivgtt, when anesthesia beg an group II :To apply the same medication in four hours before operative; group III : After operative treatment, the medication was continuous for three day or it would not stop until temperature came to normal. And compare efficacy amorg the three groups. Results: The average highest temperature of everyday after operation of group I, II was obviously lower than that of group III , and the cases of the temperature that was both ≥38 0℃ for two days were obviously less than that of group III. The difference was highly significant (P< 0.05 ) . And the efficacy of group I was superior to that of group II . Conclusions: Single dose antibiltics is chosen to be used to prevent from infection in cesarean section delivery when anesthesia begins.
出处
《医学理论与实践》
2001年第12期1220-1221,共2页
The Journal of Medical Theory and Practice
关键词
预防性
投药时机
单次疗法
剖宫产
感染
Prophylaxis, The period of applying medicament, Single therapy
