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1、【摘要】目的探討剖宮產(chǎn)術(shù)圍手術(shù)期用藥的臨床對策。方法80例行剖宮產(chǎn)術(shù)產(chǎn)婦，隨機(jī)分成觀察組和對照組，各40例。觀察組產(chǎn)婦采用圍手術(shù)期抗感染用藥治療，對照組產(chǎn)婦采用圍手術(shù)期常規(guī)用藥治療，對比不同用藥后的治療效果。結(jié)果觀察組產(chǎn)婦術(shù)后退熱時(shí)間為(1.45±1.07)d,術(shù)后最高體溫為(37.80±0.20)°C,術(shù)后腹部切口感染率為2.5%(1/40),產(chǎn)褥病發(fā)生率為2.5%(1/40)；對照組產(chǎn)婦術(shù)后退熱時(shí)間為(2.68±1.8)d,術(shù)后最高體溫為(38.31±0.28)°C，術(shù)后腹部切口感染率為15.0%(6/4
2、0),產(chǎn)褥病發(fā)生率為17.5%(7/40)；兩組產(chǎn)婦術(shù)后退熱時(shí)間、最高體溫及腹部切口感染率、產(chǎn)褥病發(fā)生率比較，差異均有統(tǒng)計(jì)學(xué)意義(P<0.05)o結(jié)論剖宮產(chǎn)術(shù)產(chǎn)婦在圍手術(shù)期給予抗感染用藥治療可明顯縮短預(yù)防性使用抗菌藥的使用時(shí)間，降低切口感染率及產(chǎn)褥病發(fā)生率。【關(guān)鍵詞】剖宮產(chǎn)；圍手術(shù)期；用藥；臨床對策DOI:10.14163/j.cnki.11-5547/r.2O16.33.069ClinicalcountermeasuresinperioperativemedicationofcesareansectionW
3、ULi-heng.DepartmentofObstetricsandGynecology,LiaoningYixianCountyMaternityandChildCareHospital,Jinzhou121100,China【Abstract]ObjectiveToinvestigateclinicalcountermeasuresinperioperativemedicationofcesareansection.MethodsAtotalof80puerperareceivingcesareansec
4、tionwererandomlydividedintoobservationgroupandcontrolgroup,with40casesineachgroup.Theobservationgroupreceivedperioperativeanti?inflammationmedicationtreatment,andthecontrolgroupreceivedperioperativeconventionalmedicationtreatment.Curativeeffectsafterdiffere
5、nttreatmentwerecompared.ResultsTheobservationgrouphadpostoperativefeverclearancetimeas(1.45±1.07)d,postoperativemaximalbodytemperatureas(37.80±0.20)°C,postoperativeinfectionrateofabdominalincisionas2.5%(1/40),andincideneeofpuerperalismas2.5%(1/40).Thecontro
6、lgrouphadpostoperativefeverclearaneetimeas(2.68±1.8)d,postoperativemaximalbodytemperatureas(38.31±0.28)°C,postoperativeinfectionrateofabdominalincisionas15.0%(6/40),andincidenceofpuerperalismas17.5%(7/40).Thedifferencesofpostoperativefeverclearaneetime,maxi
7、malbodytemperature,infectionrateofabdominalincisionandincidenceofpuerperalismallhadstatisticalsignificaneebetweenthetwogroups(P<0.05).ConclusionImplementofperioperativeanti?inflammationmedicationtreatmentforpuerperareceivingcesareansectioncanremarkablyshort
8、enadministrationtimeofpreventiveantibacterialandreduceinfectionrateofincisionandpuerperalism.【Keywords】Cesareansection；Perioperative；Medication；Clinicalcountermeasures剖宮產(chǎn)術(shù)是有效防止由于陰道生產(chǎn)過程中由部分原因可能造成母嬰健康和性命
