目的:观察腹股沟疝无张力修补术围术期不预防性使用抗菌药对切口感染发生率的影响. 方法:分析2012年和2014年因腹股沟疝在我院行无张力疝修补术的患者病历资料,将嵌顿疝、糖尿病、过度肥胖、多次复发性疝、放化疗后患者以及免疫功能低下的患者排除. 将2012年符合条件的117例患者(均预防性使用抗菌药物)作为对照组,将2014年符合条件的103例患者(未预防性使用抗菌药物)作为观察组. 记录两组患者的手术时间、术后第3天晨温、切口愈合等级、住院时间等指标,并进行对照分析. 结果:两组患者的手术时间、术后第3天晨温、切口愈合情况、住院天数等指标的差异均无统计学意义(P>0.05). 结论:无高危感染因素的患者行腹股沟疝无张力修补术时,围术期不预防性使用抗菌药对切口感染发生率无明显影响.%AIM: To observe the effect of nonuse of preventive antibiotic therapy on the incidence of incision infection after tension-free repair of inguinal hernia. METHODS: The clinical data of patients with inguinal hernia in our department in 2012 and 2014 were analyzed, and patients with hernia, diabetes mellitus, obesity, multiple recurrent hernia, history of chemoradiotherapy, or immune deficiency were excluded. The control group included 117 patients eligible for preventive antibiotic therapy in 2012, and the observation group included 103 patients without preventive antibiotic therapy in 2014. The operation time, morning temperature on the 3td day after surgery, healing course of incision, length of hospital stay and other indicators of two groups were recorded and compared. RESULTS:There was no significant difference between the two groups in the operation time, morning temperature on the 3td day after surgery, healing course of incision, and length of hospital stay (P>0.05). CONCLUSION: Prophylactic use of antibiotics has no obvious effect on the incidence of incision infection in patients without risk factors for inguinal hernia repair.
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