不同手术方式胆囊切除术中抗菌治理的效果分析

Analysis on the Effect of Different Operation Methods in Antimicrobial Treatment of Cholecystectomy

目的:探讨不同方式胆囊切除术中抗菌治理的效果。方法:选择我院收治的50例接受胆囊切除术的患者,分别行腹腔镜胆囊切除(LC)和开腹胆囊切除(OC),每组25例,比较两组抗生素使用情况、手术情况及临床疗效。结果:观察组手术时间、术中出血量、肠功能恢复时间及住院天数明显少于对照组,差异有统计学意义(P<0.05)。观察组在术前及术后使用抗生素的例数及使用时间均少于对照组,根据抗菌药物的使用率,排在前五位的分别是:硝基咪唑类,氟喹诺酮类,青霉素类,头孢菌素类和氨基糖甙类。结论:根据病情发展,确定抗菌药物的使用疗程,尽量减少抗菌药物的使用时间,减少患者的住院时间。

Objective： To study the effects of different ways in antimicrobial treatment of cholecystectomy. Methods： 50 cases underwent cholecystectomy in our hospital, with laparoscopic gallbladder excision （LC） and open gallbladder excision （OC） respectively, compared two groups＇ antibiotics usage, operation condition and clinical curative effect. Results： Observation group in operation time, intraoperative blood loss, bowel function recovery time and hospitalization days less than control group obviously, the difference were statistically significant （P〈0.05）. Observation group in preoperative and postoperative antibiotic use cases and using time was less than control group, according to the usage of antimicrobial drugs, the top fiftla are： nitro imidazoles, fluoroquinolone, penicillin, cephalosporin and amino glucoside. Conclusion： According to the illness development, determine the use of antimicrobial treatment, to reduce the using time of antimicrobial agents as far as possible, reduce the patient＇s hospital stay.