探讨剖宫产围术期预防性应用抗生素不同用药方法预防术后感染的效果

摘要

Objective:To explore the effect of prophylactic use of antibiotics in perioperative period of ce-sarean section in the prevention of postoperative infection.Methods:100 cases of cesarean section delivery women were randomly divided into study group and control group,with 50 cases in each group.The study group was given intravenous injection of cefazolin sodium in preoperative 30min and isodose intravenous in-jection of cefazolin sodium in postoperative 12h;After operation,the patients in control group were given in-travenous injection of cefazolin sodium after back to ward.Results:The maternal body temperature recovery time of two groups had no significant difference (P >0.05);The incision infection rate,hospital time and u-terine involution of non-performing rate of study group were significantly better than those of control group (P <0.05).Conclusion:Prophylactic use of antibiotics in perioperative period of cesarean section in the pre-vention of postoperative infection needs less dosage less,with shorter treatment time,no adverse reactions, and faster postoperative recovery.%目的：：探究剖宫产围术期预防性应用抗生素不同用药方法预防术后感染的效果。方法：选取剖宫产分娩产妇100例，随机均分成研究组和对照组各50例。研究组在术前30min 静注头孢唑林钠，术后12h 再次静脉滴注等剂量头孢唑林钠；对照组术后回到病房后静注头孢唑林钠。结果：两组产妇体温恢复正常的时间无显著性差异(P >0.05)；在切口处的感染率、住院时间和子宫复旧的不良率上研究组明显优于对照组(P <0.05)。结论：对于剖宫产孕妇在围术期术前就使用抗生素进行预防性治疗，其用药剂量更少，用药时间更短，没有出现不良反应，术后恢复更快。