泌尿外科腹腔镜手术患者预防使用抗菌药物分析  

Analysis on prophylactic use of antibiosis medicine for patients with urology laparoscopic surgery

作　　者：白遵光[1] 王昭辉[1] 雷振华[1] 代睿欣[1] 朱首伦[1] 谢旻君[1] 胡萍[1] 林高[1] 

机构地区：[1]广东省中医院泌尿外科,广东广州510120

出　　处：《中华医院感染学杂志》2014年第7期1647-1648,1794,共3页Chinese Journal of Nosocomiology

基　　金：广东省科技厅基金项目(2012B061700035)

摘　　要：目的分析泌尿外科腹腔镜手术患者预防使用抗菌药物情况,为泌尿外科清洁手术患者合理使用抗菌药物提供参考依据。方法回顾性分析137例泌尿外科腹腔镜手术患者的临床资料,根据术前是否预防使用抗菌药物将其分为抗菌药物组74例和非抗菌药物组63例,调查两组住院天数、血白细胞计数、术后手术部位感染率以及住院费用等方面资料,采用SPSS13.0软件进行统计处理。结果两组间在术后血常规白细胞、住院天数、切口感染率等方面差异均无统计学意义,住院费用抗菌药物组较非抗菌药物组相对较高,差异有统计学意义(P<0.01);两组腹腔镜下精索静脉高位结扎术患者、后腹腔镜下肾囊肿去除及肾上腺手术患者在术后血常规白细胞总数、住院天数、切口感染率方面差异均无统计学意义,住院费用抗菌药物组较非抗菌药物组较高,差异有统计学意义(P<0.01)。结论通过采用综合措施,不预防性使用抗菌药物在泌尿外科腹腔镜清洁手术中可行,不会增加住院天数及伤口感染机会,且可以减少患者住院费用。OBJECTIVE To analyze the prophylactic use of antibiosis medicine for patients with urology laparoscopic surgery ,so as to provide a reference about rational using antibiosis medicine in Urology Surgery for patients with clean surgical .METHODS A retrospective analysis on clinical data from 137 cases of the urology laparoscopic surgery patients was taken ,which divided into 2 groups according to whether the preventive use of antibiosis med-icine before surgery ,one group （74 cases） as antibiosis medicine group ,another （63cases） as no-antibiosis medi-cine group .Length of stay ,white blood cell count ,infection rates of postoperative surgical sites and hospital costs in two groups were studied ,and SPSS 13 .0 software was used for statistical disposition .RESULTS There was no differences in white blood cell count ,length of stay and infection rates of postoperative surgical sites in the two groups ,while the hospital costs in antibiosis medicine group was higher than no-antibiosis medicine group and the difference was significant （P＆lt;0 .01）;The patients with surgery of ligation on high position of spermatic cord vein under laparoscopic ,renal cyst removalunder retroperitoneoscopy and adrenal surgery had no difference in white blood cell count ,days of hospitalization ,and postoperative infection rates ,but the cost of hospitalization of antibi-osis medicine group was higher than no-antibiosis medicine group and the difference was significant （P＆lt;0 .01） . CONCLUSION By adopting comprehensive measures ,no using of antibiosis medicine for prevention during urology laparoscopic clean surgical is viable ,which will not increase the days of hospitalization and postoperative infection chance ,in addition to reduce hospital costs .

关 键 词：泌尿外科 腹腔镜 抗菌药物 

分 类 号：R978.1[医药卫生—药品]