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目的:探讨无妊娠合并症、并发症的择期剖宫产术后能否不用或少用抗菌素。方法:将180例剖宫产病例随机分为两组,实验组90例采用术中使用甲硝唑液冲洗宫腔和盆腔及术野的方法,术后不再使用抗菌素;对照组90例除术中冲洗外,于麻醉开始后即使用青霉素静脉点滴,共2天。观察两组患者术后体温、产褥病率、腹壁切口甲级愈合率、术后平均住院天数及恶露干净时间等指标。结果:两组各项指标无统计学差异(P>0.05),抗菌素费用占住院费用0.1～2。结论:择期剖宫产患者在术中使用单一甲硝唑液冲洗宫腔和盆腔及术野效果良好,术后可不用或少用抗菌素,这种方法操作简单、价廉,副作用少,有良好的经济效益和社会效益。
Objective: To investigate whether there is no or less antibiotic after elective cesarean section without pregnancy complications and complications. Methods: 180 cases of cesarean section were randomly divided into two groups. 90 cases in the experimental group were treated with metronidazole solution to wash the uterine cavity, pelvic cavity and operative field. No antibiotics were used after the operation. 90 cases in the control group Intraoperative rinse, intravenous infusion of penicillin in anesthesia after a total of 2 days. The postoperative body temperature, the rate of puerperal morbidity, grade A incision rate of abdominal incision, average postoperative hospital stay and lochia clean time were observed. Results: There was no significant difference between the two groups (P> 0.05). The cost of antibiotics accounted for 0.1 ~ 2 for hospitalization. Conclusion: Elective cetanectomy patients using a single metronidazole flushing the uterine cavity and pelvic and operative field with good results after surgery without or with less antibiotics, this method is simple, inexpensive, less side effects, good The economic and social benefits.