痔围手术期不应用抗生素的可行性研究

目的观察痔手术前后不应用抗生素的可行性。方法选择我院收治需行痔手术的患者90例，随机分为A、B、C三组，其中A组患者不应用抗生素，B组患者仅术前2h内单次静脉滴注抗生素，C组患者术前、术后第1天和术后第2天静脉滴注抗生素。观察三组患者术中出血、手术时间以及术后感染情况，手术前后外周血白细胞变化情况及住院时间等。结果三组患者手术时间、住院时间比较差异无统计学意义（P〉0．05），手术前后各组外周血白细胞变化差异均无显著性（P〉0．05）；三组患者术后均无感染发生。结论痔围手术期不应用抗生素是安全可行的。

Clinical observation of no antibiotics in perioperation period of hemorrhoids

Objective To investigate the feasibility of no antibiotics before and after operation of hemorrhoids. Methods Ninety patients admitted to our hospital for hemorrhoids operation were randomly divided into three groups,group A patients without antibiotics, patients in group B were only 2 hours before a single intravenous infusion of antibiotics, patients in group C before,after the first day and the second day after intravenous antibiotics. The three groups were observed in patients with bleeding,operation time and postoperative infection after operation,the changes of peripheral leukocytes,hospitalization time etc. Results Three patients operation time,hospitalization time had no significant difference （P〉0.05）; There was no significant difference in peripheral blood leukocyte changes before and after the opera- tion of all groups （P〉0.05）,the three group patients were no infection. Conclusion No antibiotics in peri operation period of hemorrhoids is safe and feasible.