顺产分娩会阴侧切术孕产妇未预防应用抗生素的可行性分析

Feasibility Analysis of Non-preventive Antibiotics for Pregnant and Lying-in Women during Lateral Perineal Resection of Normal delivery

目的分析顺产分娩会阴侧切手术孕产妇未预防应用抗生素的临床可行性。方法选择2018年3月至2019年3月于我院进行会阴侧切手术的48例顺产分娩孕产妇作为观察组,均未预防应用抗生素;选择同期于我院进行会阴部侧切手术的48例顺产分娩孕产妇作为对照组,均预防应用抗生素。比较两组孕产妇的干预效果。结果观察组的视觉模拟量表(VAS)评分为(2.99±1.02)分,对照组为(2.78±1.07)分,差异无统计学意义(P>0.05);观察组感染发生率为16.67%(8/48),对照组为12.50%(6/48),差异无统计学意义(P>0.05);观察组一期伤口愈合率为50.00%(24/48),对照组为54.17%(26/48),差异无统计学意义(P>0.05);观察组子宫复旧率为93.75%(45/48),对照组为95.83%(46/48),差异无统计学意义(P>0.05);观察组产后住院时间为(4.02±1.13)d,对照组为(6.74±1.28)d,差异有统计学意义(P<0.05)。结论临床对顺产分娩进行会阴侧切手术的孕产妇未预防应用抗生素不会增加患者的疼痛,对患者的感染发生率、一期伤口愈合率和子宫复旧率没有明显的影响,能缩短患者的住院时间,所以临床建议对顺产分娩会阴侧切术的孕产妇如无特殊的临床指征,可避免应用抗生素干预。

Objective To analyze the clinical feasibility of non-prophylactic antibiotics for pregnant and lying-in women who have undergone lateral perineal resection during normal delivery.Methods A total of 48 normal delivery women who had undergone lateral perineal resection in our hospital from March 2018 to March 2019 were selected as the observation group.None of them were prophylactically applied antibiotics,48 patients who had undergone lateral perineal resection in our hospital during the same period were selected for delivery as a control group,pregnant and lying-in women were treated with antibiotics for prophylaxis.The intervention effects of the two groups of pregnant and lying-in women were compared.Results The visual analog scale(VAS)score of the observation group was(2.99±1.02)points,and the control group was(2.78±1.07)points,the difference was not statistically significant(P>0.05);the incidence of infection in the observation group was 16.67%(8/48),the control group was 12.50%(6/48),the difference was not statistically significant(P>0.05);the primary wound healing rate of the observation group was 50.00%(24/48),and the control group was 54.17%(26/48),the difference was not statistically significant(P>0.05);the uterine involution rate in the observation group was 93.75%(45/48),and the control group was 95.83%(46/48),the difference was not statistically significant(P>0.05).Postpartum hospitalization time in the observation group was(4.02±1.13)days,and the control group was(6.74±1.28)days,the difference was statistically significant(P<0.05).Conclusion Clinically,non-preventive antibiotics for pregnant and lying-in women undergoing lateral perineal resection for normal delivery will not increase the patient's pain,and have no significant effect on the incidence of infection,the rate of primary wound healing and the rate of uterine involution,and can shorten the patient's hospitalization time.Therefore,it is clinically recommended that if there are no special clinical indications for pregnant and lying-in women undergoing lateral perineal resection,the application of antibiotic intervention can be avoided.