人工流产术后不使用抗生素的临床分析

Clinical Analysis of Disusing Antibiotics After Artificial Abortion

目的探讨人流后应用抗生素预防感染的必要性，为临床合理使用抗生素提供依据。方法选择2012年6月～2014年6月人流后不使用抗生素者为观察组，2010年1月～2011年12月期间人流后常规应用抗生素者作为对照组。在术后复诊或电话追访时对患者的月经复潮及盆腔感染的发生情况进行调查。结果观察组及对照组月经复潮的平均时间分别为（31.3±2.3）天及（35.6±2.6）天，差异无统计学意义（P＞0.05）；观察组和对照组分别有23例（5.13％）和22例（4.94％）发生了感染，χ2＝0.897，P＞0.05，差异无显著性。结论人流后不使用抗生素是可行的。

ObjectiveTo investigate whether it was necessary to use antibiotics for infectious prevention after artificial abortion, provide the basis for clinical rational use of antibiotics.Methods Chose the women who were disused antibiotics after artificial abortion from June 2012 to June 2014 as the observation group and the women who were given the conventional antibiotics from January 2010 to December 2011 as the control group. To investigated the time of menstruation turn over and the incidence condition of pelvic infection when the cases returned visit or followed up by telephone.Results The average time of menstruation turn over was （31.3±2.3） days in the control group and （35.6±2.6） days in the observation group, there was no statistical signiifcance between the two groups （P〉0.05）. There were 23 （5.13%） and 22 （4.94%） Infectious cases respectively in the observation group and control group , χ2=0.897,P〉0.05.Conclusion It is feasible that disusing antibiotics after artiifcial abortion.