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目的探讨妇产科手术患者术前预防性应用抗生素的合理性。方法选取武穴市第一人民医院妇产科2014年1月—2016年1月收治的行手术患者268例,随机分为对照组与试验组,各134例。对照组患者术前未预防性使用抗生素,试验组患者术前预防性给予抗生素。比较两组患者退热时间、住院时间、抗生素用量、术后感染率情况。结果两组患者退热时间比较,差异无统计学意义(P>0.05);试验组住院时间短于对照组,抗生素用量少于对照组(P<0.05)。试验组患者术后感染率低于对照组(P<0.05)。结论妇产科术前预防性应用合理量的抗生素可缩短患者住院时间、减少抗生素使用量、降低术后感染率。
Objective To investigate the prophylactic use of antibiotics in obstetrics and gynecology patients. Methods 268 cases of surgical patients who were admitted to Department of Obstetrics and Gynecology, First People’s Hospital of Wuxue City from January 2014 to January 2016 were randomly divided into control group and experimental group, with 134 cases each. Patients in the control group received preoperative prophylactic antibiotics. Patients in the test group received prophylactic antibiotics preoperatively. The time of fever, hospital stay, antibiotic dosage and postoperative infection rate were compared between the two groups. Results There was no significant difference in the antipyretic time between the two groups (P> 0.05). The length of stay in the experimental group was shorter than that of the control group, and the dosage of antibiotics was less than that of the control group (P <0.05). The infection rate of the experimental group was lower than that of the control group (P <0.05). Conclusion Preoperative gynecological prophylactic use of a reasonable amount of antibiotics can shorten the hospitalization time, reduce the use of antibiotics and reduce postoperative infection rate.