术前抗菌素对急性化脓性阑尾炎手术切口的影响  

Preoperative antibiotic to prevent incision infection of acute suppurative appendicitis

作　　者：肖承佐[1] 王金宝[1] 李应军[1] 郝俊[1] 董功航[1] 王连涛[1] 林洪胜[1] 

机构地区：[1]广州医学院附属深圳沙井医院普外科,518104

出　　处：《齐齐哈尔医学院学报》2012年第12期1608-1609,共2页Journal of Qiqihar Medical University

基　　金：深圳市宝安区科技局资助项目(20110511)

摘　　要：目的探讨术前应用抗菌素对预防急性化脓性阑尾切除术切口感染的效果。方法将接受急性化脓性阑尾切除术患者按术前是否应用抗菌素且排除其它干扰因素分两个组,观察和对照组,对比两组患者术后切口感染的发生率。结果术前应用抗菌素组切口感染率为6.83%,术前不用药组为15.63%,P<0.05;术后切口局部红肿热痛率,未应用抗菌素组均明显高于用药组。结论术前使用抗菌素能有效减少急性化脓性阑尾炎行阑尾切除术后切口感染率。Objective To discuss preoperative medicine to prevent acute suppurative appendicitis incision infection.Methods We collected appendectomies patients according to whether preoperatie drugs or not,they were divided into two groups,contrasted the incidence of postoperative incision infection.Results Incision infection rate of the group of preoperative drugs was 6.83%,the group without antibiotic was 15.63%,P〈0.05.The postoperative clinical signs of infection（local swelling,pain,fever） training positive rate,not pathogenic treatment group was significantly higher than preoperative treatment group.Conclusions Preoperative use of antibiotics can reduce appendectomies incision infection.

关 键 词：急性阑尾炎 切口感染 术前用药 预防感染 

分 类 号：R656.8[医药卫生—外科学]