抗生素在开放性骨折中的合理应用

【摘要】 本文对213例开放性骨折作了调查。根据所使用的抗生素类型,将其分成青霉素类组、头孢霉素类组。并结合伤口的Gastilo分型,清创术施行的时间,比较两组的伤口感染率。调查中发现,在清创术施行时间大于8小时情况下,青霉素类组的感染率明显高于另外一组(P<0.05);在8小时以内施行清创术的情况下,两组感染率无明显差别(P>0.05)。因此,我们认为:除在一些特殊的情况下,如受伤时间较长的病人,在开放性骨折的治疗中,为预防伤口感染应首选青霉素类。更多还原

【Abstract】 This text is right 213 examples opened fracture to make the investigation.According to the type of antimicrobial for using, its be divided into the penicillin group,cefazolins group.And combining the Gastilo抯 wound type, epluchage time, to compare its infection rate. Investigation showed,when epluchage over 8 hours, penicillin set抯 infection rate obvious higher than another set(P<0.05).Infection rates have no the obvious difference in the circum- stance that epluchage not over 8 hours( P>0.05).Therefore, we think:excepting some special circumstances (e.g.hurted a long time),to opened fracture, for prevent wound infection should choose the penicillin.. The key phrase opens the sex bone fracture the wound to infect with the anti- the vegetable prevention更多还原