剖宫产围术期应用抗菌药物预防感染效果分析

摘要

OBJECTIVE:To investigate if there is any difference for the effects of different medication time of antibiotics on patients with cesarean section during perioperative period.METHODS: Retrospective analysis was adopted,465 cases with cesarean section admitted into Central Hospital of Luohe City( hereinafter referred to as "our hospital") from Jun.to Dec.2013 were divided into T≤24 h group and T>24 h group via the preventive medication time.And the intertion status of operative incision,changes of body temperature after and the count of peripheral blood WBC within one week after surgery were summarized and analyzed.RESULTS: The data in two groups in terms of intertion status of operative incision,changes of body temperature and the count of peripheral blood WBC within one week after surgery have no statistically significant difference ( P >0.05 ).CONCLUSIONS: For patients with no predisposing risk factors,the regimen of T≤24 h can be chosen after cesarean section.%目的:了解剖宫产围术期预防应用抗菌药物时间长短对患者预防效果是否存在差异.方法:采用回顾性分析方法,对漯河市中心医院(以下简称"我院")2013年6—12月所有465例剖宫产手术病例按照预防用药时间分成T≤24 h组和T>24 h组,对手术切口愈合情况、术后体温变化以及术后1周内外周血白细胞计数( WBC)变化情况进行汇总分析.结果:在手术切口愈合情况、术后体温变化、1周内外周血WBC总数三方面,T≤24 h组与T>24 h组相比差异无统计学意义( P>0.05 ).结论:对于无易感高危因素的患者剖宫产术后预防用药时间可以采用T≤24 h方案.