腹腔镜下腹股沟疝修补术患儿不使用抗菌素的效果评价

The Effect of non-using Antibiotics on Children with Laparoscopic Inguinal Hernia Repair

目的分析腹腔镜下腹股沟疝修补术患儿在围手术期不采用抗菌素的临床治疗效果。方法采用病例对照分析方法,将108例腹腔镜下腹股沟疝修补术患儿按是否使用抗生素随机分为2组,比较2组患儿抗菌素使用情况、术后感染、住院费用、住院时间等情况。结果 108例患儿围手术期均无感染征象及其他并发症,而未使用抗生素组在住院费用、住院时间方面均低于使用抗生素组(P<0.001)。结论腹腔镜下腹股沟疝修补术患儿围手术期不必预防性使用抗菌素。

Objective To explore the effect of non-using antibiotics on children with laparoscopic inguinal hernia repair in perioperative pe- riod. Methods 108 patients were divided into observation group and control group. Patients of observation group were not given antibiotics, while patients of control group were given antibiotics. Postoperative infection, hospitalization costs, length of stay were compared between the two groups. Results No patient had postoperative infection. The hospitalization costs and length of stay of observation group were lower than those of control group （P〈0. 001 ）. Conclusion It is not necessary to use antibiotics on children with laparoscopic inguinal hernia repair.