盆腔炎产妇应用抗菌药物短程和长程预防策略对剖宫产手术部位感染控制的临床效果对比  

Clinical efficacy of the short and long term preventive strategies of antibacterial agents in treating cesarean section infection of lying-in women with pelvic inflammatory disease

作　　者：骆志炎 陈姣英 徐华林[3] 

机构地区：[1]诸暨市妇幼保健院产科,浙江绍兴311800 [2]诸暨市人民医院妇产科,浙江绍兴311800 [3]绍兴市妇幼保健院产科,浙江绍兴312000

出　　处：《中国性科学》2017年第6期132-134,共3页Chinese Journal of Human Sexuality

基　　金：浙江省诸暨市科研计划项目(2014AA16355)

摘　　要：目的:探讨盆腔炎产妇应用抗菌药物短程和长程预防策略对剖宫产手术部位感染控制的临床疗效对比分析。方法:选取2013年7月至2014年7月于我院住院,并进行剖宫产手术完成分娩的140例盆腔炎产妇为研究对象,按照自愿原则将其分为对照组和观察组,对照组使用短程预防时间(12~24h),观察组长程预防时间根据不同产妇情况采取长程预防时间(>48h),观察两组产妇的手术感染部位的临床疗效。结果:采取长程预防时间的观察组产妇出现产后血象升高27例,产褥病2例,明显低于使用短程预防时间的对照组,具有明显差异(P<0.05),两组住院时间延长和产程延长率比较差异无统计学意义(P>0.05),而术后发热的发生率观察组显著低于对照组(P<0.05)。结论:长程预防策略在对于盆腔炎产妇进行剖宫产手术部位感染控制方面比短程预防策略更安全,感染率更少,虽然款均药物使用量及住院费用相对较高,但对于产妇的身体来说安全性更高,长程预防策略更值得推广。Objectives： To investigate the clinical effect of short and long term preventive strategies of antibacterial agents for the treatment of cesarean section infection in lying-in women with pelvic inflammatory diseases.Methods： 140 lying-in women with pelvic inflammatory diseases who gave birth by cesarean section in our hospital from July 2013 to July 2014 were selected and voluntarily divided into control group and observation group. The patients in control group were given short term prevention（12h-24h） while patients in the observation group received long term prevention（ 〉48h）. Results： There were 27 cases of postpartum increase of white blood cells and 2 cases of puerperal disease in the observation group,significantly fewer than that in the control group,with significant difference（P〈0. 05）. The incidence of prolonged hospitalization and labor extension and postoperative fever in observation group were better than those of control group,and the complications was lower than that of control group（P〈0. 05）. Conclusion： Through it is with more medication and higher hospitalization expenses,long term prevention strategy is safer with low infection rate,thusly worthy of promotion.

关 键 词：盆腔炎产妇 抗菌药物 短程和长程预防策略 剖宫产手术部位感染控制 

分 类 号：R719.8[医药卫生—妇产科学] R711.33[医药卫生—临床医学]