抗生素在整形外科中的预防性应用  

Preventive application of antibiotic in plastic surgery

作　　者：万睿[1] 舒瑛[1] 庞星原[1] 任军[1] 

机构地区：[1]武汉市第三医院(武汉大学同仁医院)整形外科,430060

出　　处：《中华医学美学美容杂志》2014年第2期120-122,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨整形外科Ⅰ类切口手术预防性应用抗生素的合理方案.方法 采用回顾性对照研究,对比观察748例整形外科Ⅰ类切口住院患者围手术期不给药及不同给药方式的临床感染率.结果 多天数给药组（A组）、规范给药组（B组）、不给药组（C组）3个组别互相比较,其预防术后感染的效果差异无统计学意义.结论 整形外科大多数Ⅰ类切口不需预防性应用抗生素,特殊情况者严格按照《抗菌药物临床应用指导原则》进行给药即可达到良好的临床疗效.Objective To investigate the reasonable proposal of prophylactic antibiotics use in plastic surgery with type Ⅰ incision.Methods The data of 748 patients with plastic surgery in our hospital were collected and the operation number was 770.Using a retrospective case-control study,we analysed the clinical effect of different administration methods.Results Clinical effects were compared among the multiple days medication group,normative administration group and no medication groups,and there was no significant difference in the prevention of postoperative infection results.Conclusions Plastic surgery with type Ⅰ incision does not need the prophylactic application of antibiotics.In special circumstances we should take medicine in strict accordance with the ＂Guiding Principles for Clinical Application of Antibiotics＂.

关 键 词：整形外科抗菌药物 围手术期 感染 

分 类 号：R622[医药卫生—整形外科]