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目的为了探索一种应用方便,经济有效的剖宫产预防性抗生素用药方案。方法对200例足月妊娠需剖宫产结束分娩的孕妇随机分为术中断脐后用药实验组(A组),术后用药对照组(B组)两组。观察术后体温,腹部伤口愈合,子宫复旧,血象等指标,比较两组抗生素应用的临床效果。结果术后体温,伤口愈合,血象两组差异无统计学意义(P>0.05),子宫复旧实验组较对照组好,差异有统计学意义(P<0.05),并且用药少,住院时间短,对新生儿的潜在影响小。结论剖宫产预防性抗生素应用中术中断脐后用药比术后用药有更大优势。
Objective To explore a convenient and cost-effective prophylactic antibiotics for cesarean section. Methods A total of 200 pregnant women with full-term pregnancy requiring cesarean delivery were randomly divided into experimental group (A group) and postoperative control group (B group). Observed postoperative body temperature, abdominal wound healing, uterine involution, blood and other indicators, the clinical effects of two groups of antibiotics were compared. Results There was no significant difference in postoperative body temperature, wound healing and blood group between the two groups (P> 0.05). The experimental group of uterine involution was better than the control group (P <0.05), less medication, shorter hospital stay, The potential impact on the newborn is small. Conclusion Cesarean section prophylactic antibiotics in the application of intraoperative umbilical anesthesia than after medication has a greater advantage.