对照分析剖宫产术前预防应用抗菌药物临床效果.docVIP

对照分析剖宫产术前预防应用抗菌药物临床效果 　　[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 mL+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），P0.05，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，P0.05，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。 　　[关键词] 剖宫产术；术前用药；抗菌药物；切口感染 　　[中图分类号] R719.8 [文献标识码] A [文章编号] 1674-0742（2015）01（b）-0040-02 　　Comparative analysis of cesarean section before the clinical effect of preventive application of antibacterial drugs 　　HUANG Yuping 　　Shangrao Hospital of Traditional Chinese Medicine of Jiangxi Province，341200 　　[Abstract] 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 intravenous 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）， P0.05； 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， P0.05. 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. 　　[Key words] Cesarean section； Preventive medication； Antibiotics； Infection of incision 　　剖宫产术痛苦小、分娩成功几率高，成为如今主要分娩方式，逐渐被越来越多的家庭接受，无论足月分娩或者早产、难产者均可适用，成为妇产科中重要的一项领域。术后切口感染成为主要并发症，增加产妇术后痛苦，延迟术后恢复时间，因