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目的观察缩短抗生素用药时间为48h于计划性剖宫产手术的可实施性,这也是计划性剖宫产临床路径的规范用药方式。方法选取2011年我科所有进入临床路径的30例剖宫产患者为实验组及2010年随机选取的以相同指征行剖宫产手术的40例为对照组。实验组用药48h(开始于断脐后),对照组按既往方法术后用药5～7d(均为头孢菌素一代)。结果术后经过、产后42d体检等均无明显差异,但实验组术后住院日、用药时间及相关费用大大降低。结论计划性剖宫产手术用抗生素48h预防感染,缩短了用药时间,从多方面减轻了患者的负担,经济、安全,具有可实施性,应加大力度开展。
Objective To observe the shortened antibiotic treatment time of 48h in planned cesarean section operation can be implemented, which is also a planned route of cesarean section of the standard way of medication. Methods All the 30 cesarean section patients who entered clinical pathway in our department in 2011 were selected as experimental group and 40 cases randomly selected by cesarean section with the same indications in 2010 as control group. The experimental group treated 48h (beginning after breaking the umbilical cord), the control group according to the past method of treatment after 5 ~ 7d (both cephalosporins generation). Results postoperatively, postnatal 42d physical examination were no significant differences, but the experimental group postoperative hospital days, medication time and related costs significantly reduced. Conclusion Planned cesarean section with antibiotics 48h to prevent infection, shorten the medication time, reduce the burden on patients in many aspects, economy, safety, with implementability should be strengthened.