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目的:探讨剖腹产围手术期预防性抗菌药物的使用情况,促进预防性抗菌药物的合理应用。方法:对我院396例剖腹产围手术期使用传统方法与短程应用抗菌药物预防感染的产妇情况进行对比分析。研究脐带结扎后立即静脉给予足量头孢唑啉1次,术后再加用药1～2次的效果。传统用药组术前不用抗菌药物,术后用二联抗菌药物(头孢唑啉+替硝唑)5～7天。结果:两组术后切口、宫腔感染恢复情况有显著差异。结论:剖腹产围手术期预防性使用抗菌药物方便、经济、疗程短、效果显著,优于术后多日使用及联合用药,值得推广。
Objective: To explore the use of prophylactic antimicrobial agents during caesarean section perioperative period and to promote the rational use of prophylactic antimicrobial agents. Methods: 396 cases of caesarean section in our hospital during the perioperative use of traditional methods and short-term use of antimicrobial drugs to prevent infection in maternal comparative analysis. Study umbilical cord immediately after intravenous administration of adequate cefazolin 1, plus 1 or 2 times after surgery. Traditional medication group without antibiotics before surgery, with two antibacterial drugs (cefazolin + tinidazole) after 5 to 7 days. Results: There were significant differences between the two groups in postoperative incision and uterine cavity infection recovery. Conclusion: Caesarean section perioperative prophylactic use of antimicrobial drugs is convenient, economical, short course of treatment, the effect is significant, superior to the multi-day use and combination after surgery, it is worth promoting.