【摘要】：目的探討婦科清潔手術(shù)患者圍術(shù)期預(yù)防用抗菌藥物的指征,為規(guī)范婦科清潔手術(shù)患者圍術(shù)期預(yù)防用藥提供參考。方法選取醫(yī)院2013年3月-2015年2月全部婦科清潔手術(shù)病例(剔除手術(shù)前已診斷感染的病例)1 057例,采用回顧性調(diào)查及電話回訪相結(jié)合的方法,按是否合并其他情況分為未合并其他情況和合并其他情況包括:(年齡≥65歲、手術(shù)持續(xù)時(shí)間≥3h、盆腔積血或術(shù)中出血1500ml、糖尿病、手術(shù)部位≥2個(gè)、盆腔粘連、慢性盆腔炎和陰道炎治療后)兩個(gè)組,對(duì)比分析不同人群預(yù)防用抗菌藥物和未預(yù)防用抗菌藥物患者手術(shù)部位感染(SSI)的情況。結(jié)果 1 057例婦科清潔手術(shù)患者SSI率為0.76%,其中未合并其他情況組397例,SSI率0.50%;合并其他情況組660例,SSI率0.91%;未合并其他情況組:未預(yù)防用抗菌藥物患者SSI率0.68%,預(yù)防用抗菌藥物患者SSI率0.40%,差異無(wú)統(tǒng)計(jì)學(xué)意義;合并其他情況組:未預(yù)防用抗菌藥物患者SSI率0.85%,預(yù)防用抗菌藥物患者SSI率0.98%,差異無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論未合并其他情況的婦科清潔手術(shù)患者圍術(shù)期通常不需預(yù)防用抗菌藥物;合并其他情況的婦科清潔手術(shù)患者圍術(shù)期抗菌藥物預(yù)防效果有限,術(shù)前對(duì)合并其他情況進(jìn)行積極干預(yù)和糾正治療,全面落實(shí)預(yù)防SSI的綜合措施更為重要。
[Abstract]:Objective to explore the indications of prophylactic antimicrobial agents in patients undergoing gynecological cleaning surgery during perioperative period, and to provide reference for standardizing the perioperative prophylactic use of antibiotics in gynecological clean surgery patients. Methods from March 2013 to February 2015, 1 057 cases of gynecological cleaning operation (excluding those diagnosed before operation) were selected, and the methods of retrospective investigation and telephone return visit were used. According to whether the other cases were combined or not, they were divided into two groups: age 鈮，

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