剖宫产围手术期抗生素的临床应用分析240例

Clinical Analysis of Perioperative Antibiotics in Cesarean Section 240 Cases

目的通过观察剖宫产术围手术期应用抗生素的效果,探讨抗生素的合理应用。方法选择2008年1月至2009年9月的剖宫产术患者240例,对其抗生素的应用情况及预后进行回顾性分析。其中分为两组:A组为观察组,术前30min静脉点滴羧苄青霉素1.5g一次;B组为对照组,术前30min静脉点滴羧苄青霉素1.5g,术后6h重复给药一次。结果两组术后感染、发热、产褥病率、腹部切口愈合情况、产后出血均无显著性差异(P>0.005)。结论剖宫产术围手术期单次预防性应用抗生素能达到预防感染的目的,并能减少医疗费用,减少抗生素对新生儿的影响。

Objective To observe the cesarean section perioperative application of antibiotics results, explore the rational use of antibiotics. Methods From January 2008 to September 2009 of 240 cases of cesarean section patients, its application of antibiotics and the prognosis were analyzed retrospectively. Which is divided into two groups： A group for the observation group, preoperative 30 min intravenous carbenicillin 1.5 g once; B group was the control group, preoperative 30 min intravenous carbenicillin 1.5 g, repeat the dose after 6 h. Results The two groups of postoperative infection, fever, puerperal morbidity, abdominal incision healing, postpartum haemorrhage was no significant difference （ P 〉 0. 005 ）. Conclusion The cesarean section a single perioperative prophylactic antibiotics to prevent infection can reach the purpose, and can reduce medical costs and reduce the impact of antibiotics on the newborn.