预防性应用抗生素对腹腔镜阑尾切除术后发热的影响

Effect of Preoperative Prophylactic Use of Antibiotics on Postoperative Fever of Laparoscopic Appendectomy

目的:探讨腹腔镜阑尾切除术前预防性应用抗生素对术后患者发热的影响。方法:选取急性阑尾炎患者80例,随机分为观察组和对照组,每组各40例。观察组术前30 min应用抗生素,对照组术前不应用抗生素。比较2组术后24 h内患者最高体温的差异。结果:术后24 h内最高体温观察组低于对照组,但较正常体温无明显升高。结论:急性阑尾炎患者行腹腔镜手术前预防性应用抗生素可减少术后发热等炎性反应。

Objective： To explore the effect of preoperative prophylactic use of antibiotics on postoperative fever of laparoscopic appendectomy. Methods：80 cases of patients with acute appendicitis were randomly divided into two groups of 40： A group of 30 - minute pre - operative use of antibiotics, another group of non - use of preoperative antibiotics, compared the maximum postoperative temperature in 24 hours. Results ： The maximum postoperative temperature of the group of non - use of preoperative antibiotics was higher than the another group. There was no difference between the maximum postoperative temperature of the group of use of preoperative antibiotics and the normal temperature of healthy people. Conclusion： The patients with acute appendicitis before having laparoscopic surgery, there are prophylactic antibiotics to reduce the postoperative inflammatory response, such as fever.