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目的观察正常分娩会阴侧切术中预防性应用抗生素的临床效果,探讨其可行性。方法选取阴道自然分娩的会阴侧切术产妇200例,随机分为观察组与对照组各100例;对照组常规侧切、缝合、消毒及护理,观察组手术当日加用抗生素。比较两组会阴术后切口肿胀、切口愈合、疼痛情况,术后住院时间。结果两组产妇会阴切口肿胀、愈合、疼痛情况、术后平均住院时间无差异。结论预防性应用抗生素不能减少切口感染、提高愈合率、减轻会阴疼痛,缩短住院时间,应该采取相应综合性措施预防和控制切口感染。
Objective To observe the clinical effect of prophylactic antibiotics in perineal lateral excision of normal labor and to explore its feasibility. Methods 200 cases of perineal episiotomy maternal vaginal natural delivery were randomly divided into the observation group and the control group of 100 cases; the control group conventional lateral incision, suture, disinfection and nursing, the observation group with antibiotics on the day of surgery. The perineal incision swelling, incision healing, pain and postoperative hospital stay were compared between the two groups. Results Two groups of women perineal incision swelling, healing, pain, postoperative average length of stay was no difference. Conclusion The prophylactic use of antibiotics can not reduce the incision infection, improve the healing rate, relieve the pain of the perineum and shorten the length of hospital stay. Therefore, comprehensive and appropriate measures should be taken to prevent and control incisional infection.