妇科Ⅰ类切口手术围手术期未用抗菌药物的临床研究  

Nonuse of Anibiotics in Patients with Gynecologic Operation Type Ⅰ Incision During Perioperative Period:A Clinical Research

作　　者：徐关德[1] 刘继荣[1] 黄章骞[1] 杨小华[1] 钱江涛[1] 施向阳[1] 

机构地区：[1]绍兴市妇幼保健院妇产科,浙江绍兴312000

出　　处：《中华医院感染学杂志》2008年第7期1018-1019,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨妇科Ⅰ类切口手术围手术期是否需预防性应用抗菌药物。方法对112例妇科Ⅰ类切口手术患者在围手术期未预防性应用抗菌药物作为研究组与101例妇科Ⅰ类切口手术患者在围手术期预防性应用抗菌药物作为对照组,观察术后感染率、血像等感染情况及切口愈合、术后住院日、医疗费用等。结果两组术后感染率,对照组为6.9%、研究组为9.8%,差异无统计学意义(P>0.05)。结论妇科Ⅰ类切口手术围手术期不需要预防性应用抗菌药物。OBJECTIVE To investigate whether it is essential to utilize prophylactic antibiotics in patients with gynecologic surgery type Ⅰ incision. METHODS Antibiotics were applied prophylactically to 112 patients in the study group, while 101 cases in the control group were treated without antibiotics. The postoperative infection rate, the hemogram, the incision healing rate, the duration in hospital, hospital fees and so on were analyzed. RESULTS The postoperative infection rate, the incision healing rate and other items were compared in the two groups. No significant difference was found ststistically. CONCLUSIONS Prophylactic antibiotics are not necessery in patients with gynecologic operation type Ⅰincision during perioperative periods.

关 键 词：妇科手术 Ⅰ类切口 围手术期 抗菌药物 

分 类 号：R978.1[医药卫生—药品]