剖宫产术后预防性抗生素的临床应用探讨

目的 探讨剖宫产术后抗生素预防性使用的必要性。方法 选取200例无潜在感染行剖宫产产妇随机分观察组(未使用抗生素组)和对照组(使用抗生素组),观察两组术后体温,血象变化,产褥病率以及切口的愈合情况,比较腹膜内剖宫产术后抗生素预防性使用和不使用的临床效果及其并发症。结果 未使用抗生素组术后感染机会并未增加,术后两组产妇的体温变化和免疫状态等的比较无统计学差异。结论 对无潜在感染的剖宫产手术后可以避免使用抗生素,减低药物的毒副作用,且花费低,并有利于母乳喂养及新生儿健康。

Clinical study for the application of prophylacticantibiotics for cesarean section

Objective Discussing the necessity of using antibiotic to prevent postoperative infection of cesarean section.Methods 200 cases of caesarean section maternal without potential infection were randomly divided into observation group (no antibiotic group) and control group (antibiotic group).The temperature,changes in blood,puerperant morbidity and healing incision were observed and compared after cesarean section.Results Compared with the control group,the postoperative infection of observation group was not increased, and no significant difference between two groups with the temperature and immune status.Conclusion It can be avoided to use the antibiotics for no potential infection after cesarean section, which can reduce the side effects of drugs and the cost, and is advantageous to the breastfeeding and newborn health.