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临产后剖宫产预防性抗生素应用研究 被引量:2

Application of Prophylactic Antibiotics in Cesarean Section after Labor
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摘要 目的:探讨分析临产后剖宫产预防性抗生素的应用效果。方法:选取2017年4月-2018年4月在本院妇产科就诊的80例临产后剖宫产产妇作为研究对象,按照随机数字表法将其分为研究组和参照组,每组40例。参照组术后应用抗生素,研究组应用预防性抗生素,统计分析两组患者的手术时间、出血量、术后住院时间、体温恢复、血常规恢复情况以及并发症发生情况。结果:研究组手术时间、出血量、体温恢复时间以及血常规恢复时间与参照组比较,差异均无统计学意义(P>0.05)。研究组住院时间短于参照组,差异有统计学意义(P<0.05)。研究组并发症发生率为2.50%,低于参照组的15.00%,差异有统计学意义(P<0.05)。结论:相较于剖宫产术后应用抗生素,剖宫产术前预防性应用抗生素虽然对手术时间、出血量、体温恢复时间以及血常规恢复时间影响并不大,但是能够缩短住院时间,降低并发症发生率,因此预防性抗生素可以在临床上推广应用。 Objective:To explore and analyze the effect of prophylactic antibiotics in cesarean section after labor.Method:80 postpartum cesarean section mothers admitted to the department of gynaecology and obstetrics of our hospital from April 2017 to April 2018 were selected as the research objects.According to the random number table method,they were divided into study group and reference group,with 40 cases in each group.The reference group was given antibiotics after operation,while the study group was given preventive antibiotics.The operation time,bleeding volume,postoperative hospital stay,body temperature recovery,blood routine recovery and complications of the two groups were statistically analyzed.Result:There were no significant differences in the recovery time of blood loss,body temperature and blood routine between the study group and the reference group(P>0.05).The length of stay in the study group was shorter than that in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the study group was 2.50%,lower than15.00% in the control group,the difference was statistically significant(P<0.05).Conclusion:Compare with the application of antibiotics after cesarean section,the preoperative prophylactic application of antibiotics before cesarean section has little impact on the recovery time of blood loss,body temperature and blood routine during operation,but can reduce the length of hospital stay and the incidence of complications,therefore,prophylactic antibiotics can be promoted and applied in clinical practice.
作者 胡勇维 黎宇红 肖宇苑 HU Yongwei;LI Yuhong;XIAO Yuyuan(The Third People’s Hospital of Xingning City,Xingning 514500,China)
出处 《中国医学创新》 CAS 2019年第11期148-150,共3页 Medical Innovation of China
基金 梅州市卫生和计划生育局项目(2018-B-20)
关键词 临产后剖宫产 预防性抗生素 Cesarean section after labor Preventive antibiotics
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