糖尿病患者行腹股沟疝无张力修补围手术期不使用抗生素的可行性  

Feasibility of antibiotics in perioperative period of diabetes patients underwent tension-free inguinal hernia repair

作　　者：李叔强[1] 吕波[1] 袁家天[1] 

机构地区：[1]成都大学附属医院普外科,成都市610081

出　　处：《临床合理用药杂志》2015年第5期26-28,共3页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨糖尿病患者腹股沟疝无张力修补术是否需要常规预防性应用抗生素。方法回顾性分析2011年1月-2013年12月66例合并糖尿病的腹股沟疝手术患者,评价预防性使用抗生素的效果。结果 2组患者手术前后体温比较差异无统计学意义(P>0.05);且均在术后第3天体温恢复正常。2组患者术前、术后外周血白细胞计数比较差异无统计学意义(P>0.05)。说明是否应用抗生素对患者术后体温及白细胞计数无影响。患者住院期间均无切口感染表现,出院后第1、3、6、12个月电话随访,均未发生切口感染情况。结论对于糖尿病患者,围手术血糖控制是关键,围手术期不使用抗生素是可行的。Objective To investigate the feasibility of tension-free repair of inguinal hernia without antibiotic prophy- laxis. Methods The clinical data of 66 diabetes patients underwent tension-free inguinal hernia repair form January 2011 to December 2013 were retrospectively analyzed. To evaluate the effect of prophylactic use of antibiotics. Results There was no significant differences in body temperature of 2 groups before and ＇after operation （ P 〉 0.05 ）. And the body temperature re- turned to normal in all patients on the third day after operation. There was no significant differences in peripheral white blood cell count of 2 groups before and after operation（P 〉 0.05）. This showed that whether to apply antibiotics had no effect on the postoperative body temperature and white blood cell count. All patients had no wound infection performance while in hospital. By telephone follow-up after the first, 3,6,12 months, all patients had no wound infection performance. Conclusion Perioper- ative blood sugar control is the key for diabetes patients. It is feasible to not use antibiotics in perioperative period.

关 键 词：无张力疝修补术 预防性抗生素 糖尿病 

分 类 号：R656.21[医药卫生—外科学]