[1]吴星光.抗菌药物应用对剖宫产术后患者的临床影响[J].中国计划生育和妇产科,2017,(5):52-54.
 WU Xing-guang.Clinical effect of antimicrobial agents on patients after cesarean section[J].Chinese Journal of Family Planning & Gynecotokology,2017,(5):52-54.
点击复制

抗菌药物应用对剖宫产术后患者的临床影响
分享到:

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年5期
页码:
52-54
栏目:
论著与临床
出版日期:
2017-05-25

文章信息/Info

Title:
Clinical effect of antimicrobial agents on patients after cesarean section
作者:
吴星光
广东医学院附属深圳南山医院产科
Author(s):
WU Xing-guang
Department of Obstetrics, Affiliated Shenzhen Nanshan Hospital of Guangdong Medical College, Shenzhen Guangdong 518051, P.R. China
关键词:
预防性抗菌药剖宫产炎症因子感染
Keywords:
preventive antimicrobial agents cesarean section inflammatory factors infection
分类号:
R 719.8
摘要:
目的分析预防性应用抗菌药物对剖宫产术后患者抗感染的效果,探讨如何有效降低剖宫产术后感染率。方法选取2014年1月至2016年5月广东医学院附属深圳南山医院收治的剖宫产产妇62例,分成研究组(给予预防性抗菌药物)和对照组(未给予预防性抗菌药物),每组31例。对产妇的白细胞计数、排气时间、感染率、C反应蛋白(C-reactive protein,CRP)、清蛋白、前清蛋白等指标进行观察和比较。结果① 研究组产妇的白细胞计数和排气时间均明显低于对照组(P<005),研究组无感染发生,明显低于对照组(1290
Abstract:
ObjectiveTo explore the effect of prophylactic antimicrobial agents on anti-infection after cesarean section in order to reduce the infection rate after cesarean section. Methods62 cases of cesarean section parturients at Affiliated Shenzhen Nanshan Hospital of Guangdong Medical College from January 2014 to May 2016 were selected and divided into study group (given prophylactic antibiotics) and control group (not given prophylactic antibiotics).The maternal white blood cell count, exhaust time, infection rate and C-reactive protein(CRP), albumin, prealbumin etc. were observed and compared. Results① The maternal white blood cell count and exhaust time of the study group were significantly lower than those of the control group.There were no infection in 31 cases of the study group.There were 4 cases of infection in the 31 cases of the control group.The infection rate of the control group was 1290%.The infection rate of the study group was significantly lower than that of the control group and the difference was statistically significant(P<005); ② Before surgery, there were no significant difference between the two groups with the CRP, albumin, prealbumin and inflammatory factor levels(P﹥005).After surgery, the CRP of the study group were lower than control group,the albumin, prealbumin and inflammatory factor levels were highter than control group,and the difference was statistically significant(P<005). ConclusionGiving the prophylactic application of antibiotics can effectively reduce maternal cesarean section infection rate, effectively control maternal levels of inflammatory factors and it is one of ideal ways for clinical practice.

参考文献/References:

[1]邵常雪,文强,王俊慧.剖宫产产妇感染的临床特征与预防措施[J].中华医院感染学杂志,2014,24 (12):3057-3059. [2]孟怡辰,万青,胡电.剖宫产术前阴道消毒对预防术后感染效果的meta分析[J].第二军医大学学报,2015,36(10):1080-1086. [3]陶红英,王旭.29例剖宫产手术切口感染的回顾性分析及预防策略 [J].重庆医学,2015, 44 (33):4663-4664, 4670. [4]SMAILL F M, GRIVELL R M, 程利南.剖宫产术后是否需要应用抗生素预防感染?[J].中华全科医师杂志,2015,14(10):801. [5]张磊.头孢菌素类抗生素预防剖宫产感染效果分析 [J].中外女性健康研究,2015, 23 (23):172. [6]黄巧玲.合理使用抗生素预防剖宫产产后感染的体会 [J].湖北科技学院学报(医学版),2013, 27 (3):238-239. [7]王曼,张丽杰,夏生林,等.洋葱伯克霍尔德菌污染B超耦合剂致剖宫产术后切口感染的调查 [J].中华流行病学杂志,2014, 35 (5):566-568. [8]张劼,段鲜盟.剖宫产术前预防用药对预防切口感染效果的研究 [J].陕西医学杂志,2014, 43 (8):1066-1067. [9]胡璇,崔艳双,刘增佑.抗菌药物不同使用时间对预防剖宫产术后感染的影响[J].中华实验和临床感染病杂志(电子版),2016, 10 (3):359-362. [10]卫韩丽,冯秀丽.护理目标管理对预防剖宫产患者术后感染的预防作用 [J].现代医药卫生,2016,32(2):270-272. [11]中华医学会妇产科学分会产科学组.剖宫产手术的专家共识(2014)[J]中华妇产科杂志, 2014, 49 (10):721-724.

更新日期/Last Update: 2017-05-25