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目的:探讨剖宫产术预防性应用抗生素的必要性、时机及方法。方法:选择69例剖宫产病例为术前用药组(观察组),同期70例为术后用药组(对照组),观察产妇术后病率、体温、腹壁切口感染等指标,比较两组用药方案的临床效果。结果:两组在腹壁切口感染、子宫腔感染方面预防效果相同,但在术后病率、体温波动幅度等方面,观察组明显低于对照组(P<0.05)。结论:剖宫产预防性应用抗生素很有必要,且术前用药优于术后用药。
Objective: To explore the necessity, timing and method of prophylactic antibiotics in cesarean section. Methods: 69 cases of cesarean section were selected as preoperative medication group and 70 cases of postoperative medication group (control group) at the same period. The postoperative morbidity, body temperature and incision infection were observed. The clinical effect of medication regimen. Results: The two groups had the same preventive effect in incisional wound infection and uterine cavity infection, but the observation group was significantly lower than the control group (P <0.05) in postoperative morbidity and body temperature fluctuation range. Conclusion: Caesarean section prophylactic antibiotics is necessary, and preoperative medication is superior to postoperative medication.