合理使用抗生素预防普外手术后切口感染65例

目的分析普外手术中采用合适种类抗生素，对预防患者术后切口感染的临床应用价值。方法以进行了普外科相关手术治疗的130例患者为研究对象，按照抗生素的使用时间上的差异，随机分为试验组以及对照组。试验组在整个围术期期间采用相应抗生素，对照组仅在术前使用抗生素，对患者治疗后切口感染的状况进行比较分析。结果试验组出现切口感染的概率仅为3．08％，对照组则高达12.31％，差异显著（P〈0．05）表明试验组获得更优良的效果。此外，在对于不同类型的切口发生感染的情况统计发现，Ⅲ类的切口有最高的感染率，使用单一种类的抗生素出现的感染率更低。结论对于进行普外手术治疗的患者，通过使用合适种类的抗生素，可有效避免患者的切口处出现感染以及相关并发症的概率。用药前进行合理的药物筛选及配置和用药的时间，并结合患者的具体状态，尽量选择单一抗生素，可获得更好的效果。

Objective Analyze the application value of antibiotics in the prevention of postoperative wound infection after general surgery.Methods 130 patients were separated into experimental group and control group according to the differences in the usage of antibiotics on average. The experimental group was treated with antibiotics throughout the surgery, while the control group only before the surgery. The wound infection ratio of the two groupsafter treatment was compared.Results The infection ratio of experimental group was 3.08%,while the control group was 12.31% ,which indicated the experimental group had better effect,P〈0.05 which indicates there was a statistically significant. In the different types of incisions, the three categories showed the highest infection rate, and the infection ratio was lower when using single type of antibiotics.Conclusion For patients of general surgery treatment, the use of proper antibioticsean effectively avoid incision and other related diseases. Proper selection ofantibiotics and proper using control, and the combination of patient＇s states, will contribute to the clinical effects.