剖宫产术后口服抗菌药物预防产褥感染的疗效初步分析

Curative effect analysis of prophylactic antibiotics in different ave for cesarean section

[目的 ]探讨较理想的剖宫产术后预防性使用抗生素途径。 [方法 ]回顾性分析 2 80例腹膜内剖宫产产妇不同途径使用不同种类抗生素的临床效果 ,根据途径及种类的不同分二组比较 :对照组青霉素 +甲硝唑 ;观察组头孢拉定 +奥硝唑。 [结果 ]1 .术后体温恢复正常的时间 ,对照组 (静脉滴注 )临产组 (5 9± 34)h ,未临产组 (5 4± 2 8)h ;观察组 (口服 )临产组 (5 8± 35 .5 )h ;未临产组 (4 3±34)h ,两组疗效及不良反应比较差异无显著性 (P >0 .0 5 )。 [结论 ]剖宫产术后预防性应用抗生素抗感染时 ,如口服用药能达到与静脉用药相同疗效时应采用前者 ,这样有利于减轻患者痛苦且方便护理 。

Objective] To study the avenue of the appropriate antibiotic for prophylactic use in cesarean section. [Methods] The effects and side effects of prophylactic antibiotics in different ave and kind in 280 cesarean section were studied retrospectively. Two groups was engaged :control group Penicillin and metronidazole; observation group cephradine and Ornidazole. [Results] The duration of postoperative body temperature return to normal of the two groups were that: control group (by the venous ave) to be brought to bed was (59±34)hours , not to be brought to bed was (54±28)hours; observation group (by pass ora) to be brought to bed was (58±35.5)hours , not to be brought to bed was (43±34)hours. The comparison of the effects and side effects showed no significant different between the two groups. Conclusion By pass ora is the same curative effect as by the venous ave for prophylactic antibiotic use in cesarean section.