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136例剖宫产预防性抗生素应用的临床研究

Clinical Study of 136 Cases for the Application of Prophylactic Antibiotics for Cesarean Section

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【作者】 毕世樑刘淑芸蔡压西徐克惠谢大春

【Author】 WT5BZ]BI Shi liang,LIU Shu yun,CHAI Yaxi (Second University Hospital,West China University of Medical Sciences,Chengdu 610041)

【机构】 华西医科大学附属第二医院!四川成都610041自贡市第三人民医院!四川自贡643000

【摘要】 为了探索一种应用方便、经济有效的剖宫产预防性抗生素用药方案 ,对 136例足月妊娠需剖宫产结束分娩的孕妇 ,随机分为术前用药 (实验组 )、术后用药 (对照组 )两组 ,观察术后体温、感染、腹部伤口愈合、子宫复旧等指标 ,比较两组抗生素应用的临床效果。结果 :术后体温、感染及伤口愈合两组无统计学差异 ,子宫复旧实验组较对照组好 ,有统计学意义。结论 :剖宫产预防性抗生素应用中术前用药比术后用药具有更多优势

【Abstract】 Objective To evaluate the application of prophylactic antibiotics for cesarean section.Method:136 women of term pregnancy were divided into two groups random,the women of study group was given Penicillin G 320 IU plus Ampicillin 2.0 g intravenously at the 15 minutes before operation,and repeated every 8 hours post operation for 1 day .The control group was used Penicillin G 320IU and Ampicillin 2.0 g every 8 hours postoperation for 3 days.The outcomes included temperature,involution of uterus,infection of wound,and lochia.Result:The involution of uterus was better in the study group than in the control group,and the other outcomes were no significant difference between two groups.Conclusion:It is suggested that prophylactic antibiotics before operation and short course postoperation would be benefit for cesarean section.

【关键词】 足月妊娠剖宫产抗生素
【Key words】 cesarean sectionprophylactic antibiotics
  • 【文献出处】 实用妇产科杂志 ,JOURNAL OF PRACTICAL OBSTETRICS AND GYNECOLOGY , 编辑部邮箱 ,2000年03期
  • 【分类号】R719.8
  • 【被引频次】18
  • 【下载频次】64
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