短程用药预防选择性剖宫产术后感染

[目的 ]　比较短程用药与传统的多日静脉用药预防剖宫产术后感染的效果 ,以了解短期肌注用药预防剖宫产术后感染的使用价值。　 [方法 ]　采用病例对照研究的方法将接受选择性剖宫产的孕妇分为两组 :第一组 (实验组 )为术前 1小时及术后 1天氨苄青霉素或林可霉素肌注 ;第二组 (对照组 )按传统方法 ,术后选用克林霉素、庆大霉素 /丁胺卡那静脉点滴 3～ 7天抗感染。比较两组的术后感染情况。　 [结果 ]　两组在预防感染的效果上无明显差异 ,但两组在医疗费用上差异明显。　 [结论 ]　短期肌注抗生素预防感染具有效果好、经济、副作用小、病人及医护负担减轻等优点 ,值得推广

The usage of short-term antibiotics to prevent infection after selective Cesarean-section

To study the difference between short-term and conventional method in preventing infection after Cesarean-section. To know the effect of short-term intramuscular injection of antibiotics. Case control study was used. Women of selective Cesarean section were divided into two groups. In group A the test group, pregnant women were treated by ampicillin or lincomycin intramuscularly at one hour before operation and one day after the operation. In group B the control group, women were treated by clindamycin, gentamycin or amikacin ivgtt for 3-7 days. Infection after Cesarean-section of group A was compared with that of group B. There was no significant difference on effects between the two groups. The average cost differes significantly. [Conclusion] The effect of infection prevention of short-term method is similar to that of conventional method. Short-term antibiotics induced less side-effects and was less expensive. So it is worth promoting.