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近年来随剖宫产率急剧上升,剖宫产术后感染率也不断增加,且较阴道分娩者明显增高。山东省各级医院1977～1982年剖宫感染率为2％～8％,并且80年代比70年代高,省级比基层高。本院采用同一种抗生素,分3种不同方式给药,以探讨剖宫产术预防性应用抗生素的方法。1 资料与方法1.1 资料来源 选择1998年4月至1999年4月在我院剖娩妇女51例:胎膜早破21例,羊水重度污染15例,产程阻滞12例,合并糖尿病3例。随机分为术前给药A组,术前术后给药B组,单纯术后给药C组。住院期间给予同一种抗生素:头孢唑啉钠。1.2 方法 A组:术前30min静脉滴入头孢唑啉钠3.0g(溶于0.9%,生理盐水250ml),20min后滴完,术后不再用抗生素直至出院。B组:术前30min静脉滴入头孢唑啉
In recent years, with a sharp rise in cesarean section rate of infection after cesarean section also increased, and significantly higher than vaginal delivery. Shandong Province at all levels of hospital 1977 ~ 1982 caesarean section infection rate of 2% to 8%, and the 80’s higher than the 70’s, the provincial higher than the grass-roots level. The hospital uses the same antibiotics, administered in 3 different ways to explore the preventive use of cesarean section antibiotics. 1 Materials and Methods 1.1 Source Selection April 1998 to April 1999 51 cases of women delivered in our hospital: 21 cases of premature rupture of membranes, amniotic fluid 15 cases of severe pollution, 12 cases of delayed labor and 3 cases of diabetes mellitus. Patients were randomly divided into group A before operation, group B before operation and group C after operation. Given the same antibiotic during hospitalization: Cefazolin Sodium. 1.2 Methods Group A: 30ml preoperative cefazolin sodium 3.0g (dissolved in 0.9%, saline 250ml), 20min after drip finished, postoperative antibiotics are no longer until the hospital. Group B: intravenous cefazolin 30 min before surgery