甲状腺手术围手术期预防性使用抗菌药物与术后伤口感染的关系研究

发布时间：2018-04-12 19:29

本文选题：甲状腺手术 + 围手术期　；参考：《中华医院感染学杂志》2017年11期

【摘要】：目的探讨甲状腺手术围术期预防性使用抗菌药物与术后伤口感染的关系。方法选取2015年9月-2016年10月接受治疗的甲状腺手术患者80例,采用随机数表法将其分为观察组40例,对照组40例;对照组患者未给予抗菌药物治疗,观察组患者则给予抗菌药物治疗,观察比较两组患者治疗后的住院时间、药品费用、手术时间、切口甲级愈合率、并发症发生率以及术后不同时间点患者的体温变化。结果两组患者手术时间比较差异无统计学意义,观察组患者药品费用高于对照组患者,差异有统计学意义(P0.05),观察组患者住院时间长于对照组患者,差异有统计学意义(P0.05);两组患者治疗后切口甲级愈合率以及术后咳嗽咳痰、肺部感染、咽痛等并发症的发生率与对照组患者比较,差异无统计学意义;两组患者术后各时间段体温比较,差异无统计学意义。结论对甲状腺手术患者围术期不应用抗菌药物不会影响患者的预后,同时能够缩短患者的住院时间,降低医疗费用,有效地促进患者术后恢复,可行性高,值得临床推广使用。
[Abstract]:Objective to investigate the preventive use of antibiotics and the relationship of wound infection after operation of thyroid surgery. 80 patients with thyroid surgery methods from September 2015 -2016 year in October treated patients, were randomly divided into observation group of 40 cases, 40 cases in the control group; the control group patients were not given antibiotic treatment, observation group patients received antibiotic treatment, hospitalization time were compared between the two groups after treatment of drug costs, operation time, incision healing rate, complication rate and postoperative patients at different time points of the temperature change. The results of two groups of patients with operation time had no significant difference between the groups of patients, observe the cost of drugs is higher than that of the control group of patients, the difference was statistically significant (P0.05), the observation group hospitalization time was longer than that of the control group, the difference was statistically significant (P0.05); wound healing of two groups of patients after treatment The rate of postoperative cough and expectoration, pulmonary infection, the incidence rate compared with the control group of patients complications such as sore throat, there was no statistically significant difference in comparison; each time the body temperature after operation in the two groups, the difference was not statistically significant. Conclusion for patients with thyroid surgery without perioperative application of antibiotics will not affect the prognosis of patients, at the same time can be shortened the hospitalization time, reduce medical costs, effectively promote the postoperative recovery of patients, high feasibility, worthy of clinical use.

【作者单位】：天津市第四中心医院甲乳外科;
【基金】：天津市卫计委基金资助项目(2015KR16)
【分类号】：R653

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