妇科清洁手术患者围术期预防用抗菌药物指征的探讨
发布时间:2018-07-14 12:38
【摘要】:目的探讨妇科清洁手术患者围术期预防用抗菌药物的指征,为规范妇科清洁手术患者围术期预防用药提供参考。方法选取医院2013年3月-2015年2月全部妇科清洁手术病例(剔除手术前已诊断感染的病例)1 057例,采用回顾性调查及电话回访相结合的方法,按是否合并其他情况分为未合并其他情况和合并其他情况包括:(年龄≥65岁、手术持续时间≥3h、盆腔积血或术中出血1500ml、糖尿病、手术部位≥2个、盆腔粘连、慢性盆腔炎和阴道炎治疗后)两个组,对比分析不同人群预防用抗菌药物和未预防用抗菌药物患者手术部位感染(SSI)的情况。结果 1 057例妇科清洁手术患者SSI率为0.76%,其中未合并其他情况组397例,SSI率0.50%;合并其他情况组660例,SSI率0.91%;未合并其他情况组:未预防用抗菌药物患者SSI率0.68%,预防用抗菌药物患者SSI率0.40%,差异无统计学意义;合并其他情况组:未预防用抗菌药物患者SSI率0.85%,预防用抗菌药物患者SSI率0.98%,差异无统计学意义。结论未合并其他情况的妇科清洁手术患者围术期通常不需预防用抗菌药物;合并其他情况的妇科清洁手术患者围术期抗菌药物预防效果有限,术前对合并其他情况进行积极干预和纠正治疗,全面落实预防SSI的综合措施更为重要。
[Abstract]:Objective to explore the indications of prophylactic antimicrobial agents in patients undergoing gynecological cleaning surgery during perioperative period, and to provide reference for standardizing the perioperative prophylactic use of antibiotics in gynecological clean surgery patients. Methods from March 2013 to February 2015, 1 057 cases of gynecological cleaning operation (excluding those diagnosed before operation) were selected, and the methods of retrospective investigation and telephone return visit were used. According to whether the other cases were combined or not, they were divided into two groups: age 鈮,
本文编号:2121668
[Abstract]:Objective to explore the indications of prophylactic antimicrobial agents in patients undergoing gynecological cleaning surgery during perioperative period, and to provide reference for standardizing the perioperative prophylactic use of antibiotics in gynecological clean surgery patients. Methods from March 2013 to February 2015, 1 057 cases of gynecological cleaning operation (excluding those diagnosed before operation) were selected, and the methods of retrospective investigation and telephone return visit were used. According to whether the other cases were combined or not, they were divided into two groups: age 鈮,
本文编号:2121668
本文链接:https://www.wllwen.com/yixuelunwen/fuchankeerkelunwen/2121668.html
最近更新
教材专著