136例剖宫产预防性抗生素应用的临床研究  

Clinical Study of 136 Cases for the Application of Prophylactic Antibiotics for Cesarean Section

作　　者：毕世樑[1] 刘淑芸[1] 蔡压西[1] 徐克惠[1] 谢大春[2] 

机构地区：[1]华西医科大学附属第二医院,四川成都610041 [2]自贡市第三人民医院,四川自贡643000

出　　处：《实用妇产科杂志》2000年第3期160-161,共2页Journal of Practical Obstetrics and Gynecology

摘　　要：为了探索一种应用方便、经济有效的剖宫产预防性抗生素用药方案 ,对 136例足月妊娠需剖宫产结束分娩的孕妇 ,随机分为术前用药 (实验组 )、术后用药 (对照组 )两组 ,观察术后体温、感染、腹部伤口愈合、子宫复旧等指标 ,比较两组抗生素应用的临床效果。结果 :术后体温、感染及伤口愈合两组无统计学差异 ,子宫复旧实验组较对照组好 ,有统计学意义。结论Objective To evaluate the application of prophylactic antibiotics for cesarean section.Method:136 women of term pregnancy were divided into two groups random,the women of study group was given Penicillin G 320 IU plus Ampicillin 2.0 g intravenously at the 15 minutes before operation,and repeated every 8 hours post operation for 1 day .The control group was used Penicillin G 320IU and Ampicillin 2.0 g every 8 hours postoperation for 3 days.The outcomes included temperature,involution of uterus,infection of wound,and lochia.Result:The involution of uterus was better in the study group than in the control group,and the other outcomes were no significant difference between two groups.Conclusion:It is suggested that prophylactic antibiotics before operation and short course postoperation would be benefit for cesarean section.

关 键 词：剖宫产 预防性 抗生素 临床应用 临床研究 

分 类 号：R719.8[医药卫生—妇产科学]