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目的:探讨经济合理的子宫全切术预防性应用抗生素的方法。方法:对60例子宫全切术病例随机分成两组,研究组30例术前至术后第1天给药;对照组30例术前至术后第3天给药。观察术后的体温、腹部切口愈合情况、阴道残端炎、人均使用抗生素量、人均使用抗生素时间、住院时间及住院费用等标准。结果:术后的体温、腹部切口愈合、阴道残端炎比较,两组无统计学差异(P>0.05),住院费用、抗生素使用量研究组与对照组对比有显著差异(P<0.001)。结论:子宫全切术前至术后第1天用药经济合理,值得推广。
Objective: To explore the economical and reasonable hysterectomy for the prophylactic use of antibiotics. Methods: Sixty cases of hysterectomy were randomly divided into two groups. The study group was given 30 cases preoperatively to the first day after operation. The control group was administered preoperatively to the third day after operation. Observe the postoperative body temperature, abdominal incision healing, stump vaginitis, per capita use of antibiotics, per capita use of antibiotics, hospitalization and hospitalization costs and other criteria. Results: There was no significant difference between the two groups (P> 0.05). There was significant difference in the cost of hospitalization and antibiotics between the two groups (P <0.001). Conclusion: Uterine surgery before surgery to the first day after the medication is reasonable and worth promoting.