扁桃体切除患儿围术期预防性抗生素使用对患儿结局影响的研究进展  

Research progress on perioperative prophylactic antibiotic use and its effect on outcomes in children with tonsillectomy

作　　者：杨霞 王璐[1] 王震 YANG Xia;WANG Lu;WANG Zhen(Operating Room,Shanghai Children’s Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200062,China)

机构地区：[1]上海市儿童医院上海交通大学医学院附属儿童医院手术室,上海200062

出　　处：《医药前沿》2023年第19期37-39,共3页Journal of Frontiers of Medicine

基　　金：上海交通大学医学院2021年护理学科人才队伍建设项目(SJTUHLXK2021)。

摘　　要：扁桃体切除术是儿童最常见的外科手术之一,可以明显改善慢性扁桃体炎和因扁桃体肥大导致的睡眠呼吸障碍症状,其术后不良反应主要有发热、疼痛、出血、进食困难等。扁桃体切除术围术期预防性抗生素的使用情况,以及对于术后感染、出血等并发症是否有积极作用,目前缺乏系统概述,相关的回顾性研究、随机对照试验(RCT)研究等尚无明确结论,治疗意见未形成统一。因此,本文针对儿童扁桃体切除患儿围术期预防性抗生素使用对患儿结局的影响进行综述,以期为临床决策提供参考依据。Tonsillectomy is one of the most common surgical operations in children.It can significantly improve the symptoms of chronic tonsillitis and sleep-disordered breathing caused by hypertrophy of the tonsils.The main postoperative adverse reactions include fever,pain,bleeding and difficulty in eating.Currently,there is a lack of systematic overview on the use of prophylactic antibiotics in the perioperative period of tonsillectomy and whether it has positive effects on postoperative complications such as infection and bleeding.Relevant retrospective studies and randomized control trial(RCT)studies have not reached clear conclusions,and treatment opinions have not been unified.Therefore,this article reviewed the effects of perioperative prophylactic antibiotic use on outcomes in children with tonsillectomy,in order to provide reference for clinical decision-making.

关 键 词：扁桃体切除术 儿童 预防性抗生素 影响 

分 类 号：R766.18[医药卫生—耳鼻咽喉科]