Ⅰ类切口手术患者术前预防性使用抗生素的护理观察

张艳利; 杨敏利; 巫姜; 杨红

doi:10.7619/jcmp.201412021

Ⅰ类切口手术患者术前预防性使用抗生素的护理观察

1.
第四军医大学西京医院外科手术室，陕西西安，710032;
2.
第四军医大学西京医院血管内分泌外科，陕西西安，710032

详细信息

中图分类号: R473.6
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出版历程
- 发布日期: 2014-09-10

Nursing observation of antibiotic prophylaxis in patients with type I incision operation

摘要

摘要: 目的：探讨术前预防性使用抗生素在Ⅰ类切口手术患者中的应用价值。方法选取100例Ⅰ类切口手术的患者随机分为观察组和对照组，对照组术前不使用抗生素，观察组术前预防性使用抗生素，比较2组的体温、相关实验数据以及术后切口情况。结果观察组术后1 d、2 d、3 d 的体温与对照组比较差异无统计学意义（P ＞0．05）。观察组术后的外周白细胞计数、切口的甲级愈合率、感染率与对照组比较差异无统计学意义（P ＞0．05）。观察组术后的中性粒细胞分类少于对照组，差异有统计学意义（P ＜0．05），但均在正常范围之内。结论术前预防性使用抗生素并不能降低Ⅰ类手术切口患者感染的发生率，不主张预防性使用抗生素。
- 预防性 /
- 抗生素 /
- 手术 /
- 安全性 /
- 感染
Abstract: Objective To explore the application value of antibiotic prophylaxis in patients with type I incision operation.Methods 100 patients with type I incision operation were random-ly divided into the observation group and the control group,the control group didn’t use antibiotics before operation while the observation group was given antibiotic prophylaxis,body temperature, experimental data and postoperative incision were compared between the two groups.Results The difference was not statistical significant in the temperature of the 1st day,2nd day and 3rd day af-ter operation in the observation group compared with the control group (P >0.05).The difference was not statistical significant in peripheral white blood cell count,infection rate and the class-A healing rate in the observation group compared with the control group (P >0.05).The difference was statistically significant since neutrophils in the observation group was less than that in the con-trol group (P <0.05),but they were all in the normal range.Conclusion Antibiotic prophylaxis couldn’t reduce the occurrence rate of incision infection for patients with type I incision operation, so the use of prophylactic antibiotics is not advocated.
- preventive /
- antibiotics /
- operation /
- safety /
- infectionT