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目的分析我院普外科围术期抗生素应用的合理性。方法将472例患者随机分为观察组292例和对照组180例。2组均予对症手术治疗,观察组在围术期常规使用抗生素,对照组仅在术后给予抗生素抗感染。观察2组术后切口感染发生率、延迟愈合发生率、住院时间和并发症发生率情况。结果观察组切口感染、延迟愈合及并发症发生率均低于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05)。结论从患者康复情况来看,我院普外科围术期抗生素应用较合理,能明显改善患者切口愈合情况、减少并发症,缩短住院时间,但临床应进一步规范抗生素的应用,尽量减少耐药情况的发生。
Objective To analyze the rationality of perioperative antibiotics in general surgery in our hospital. Methods 472 patients were randomly divided into observation group 292 cases and control group 180 cases. 2 groups were given symptomatic surgery, the observation group routine use of antibiotics in the perioperative period, the control group only antibiotics after the anti-infection. The incidence of postoperative incision infection, delayed healing, hospitalization time and complication rate were observed. Results The incidence of incision infection, delayed union and complication in the observation group were lower than those in the control group, and the length of hospital stay was shorter than that in the control group (P <0.05). Conclusion From the point of view of patient rehabilitation, perioperative antibiotics in general surgery in our hospital is more reasonable and can significantly improve the incision healing, reduce complications and shorten the hospital stay, but should further standardize the application of antibiotics to minimize drug resistance happened.