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1、【摘要】目的探讨剖宫产术围手术期用药的临床对策。方法80例行剖宫产术产妇，随机分成观察组和对照组，各40例。观察组产妇采用围手术期抗感染用药治疗，对照组产妇采用围手术期常规用药治疗，对比不同用药后的治疗效果。结果观察组产妇术后退热时间为(1.45±1.07)d,术后最高体温为(37.80±0.20)°C,术后腹部切口感染率为2.5%(1/40),产褥病发生率为2.5%(1/40)；对照组产妇术后退热时间为(2.68±1.8)d,术后最高体温为(38.31±0.28)°C，术后腹部切口感染率为15.0%(6/4
2、0),产褥病发生率为17.5%(7/40)；两组产妇术后退热时间、最高体温及腹部切口感染率、产褥病发生率比较，差异均有统计学意义(P<0.05)o结论剖宫产术产妇在围手术期给予抗感染用药治疗可明显缩短预防性使用抗菌药的使用时间，降低切口感染率及产褥病发生率。【关键词】剖宫产；围手术期；用药；临床对策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剖宫产术是有效防止由于阴道生产过程中由部分原因可能造成母婴健康和性命
