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目的探讨人工流产预防用药的时间及效果,减少抗菌药物滥用。方法 526例人工流产患者,随机分为两组,265例术前1 h口服抗菌素1次,术后4 h加服1次(术前预防用药组);261例术后预防用药2 d,2周后随访(术后预防用药组),观察两组患者治疗效果。结果盆腔炎性疾病发生率分别为0.78%和3.56%,差异有统计学意义(P<0.05)。结论对于非感染性流产的预防用药,选择有效抗菌素,术前1 h口服用药1次,术后4 h加服1次,即可达到预防感染的目的。
Objective To explore the time and effect of preventive abortion in abortion and reduce the abuse of antibiotics. Methods A total of 526 cases of induced abortion were randomly divided into two groups. One hundred and sixty-five patients were randomly divided into two groups. One hundred and sixty-five patients were treated with oral antibiotics 1 h before operation and 1 time after operation (prophylactic group) Weekly follow-up (postoperative prophylaxis treatment group), the treatment effect of two groups were observed. Results The incidence of pelvic inflammatory disease were 0.78% and 3.56%, respectively, with significant difference (P <0.05). Conclusions For the prevention of non-infectious abortion, effective antibiotics were selected, and the drug was administered orally 1 h before surgery and 1 time 4 h after surgery to prevent infection.