胆囊切除术_腹腔镜；抗生素类；围手术期；感染控制_

腹腔镜胆囊切除术围手术期抗生素应用价值的探讨

http://www.100md.com 《腹腔镜外科杂志》 2006年第3期

胆囊切除术,腹腔镜；抗生素类；围手术期；感染控制,,胆囊切除术，腹腔镜；抗生素类；围手术期；感染控制,【摘要】,【关键词】,1资料与方法,2结果,3

     【摘要】 目的：探讨腹腔镜胆囊切除术(LC)围手术期抗生素应用的价值。方法：随机将择期行LC的1 009例患者分为3组：A组，手术前后均不使用抗生素；B组，手术当天使用1次抗生素；C组，术后连续3d使用抗生素。结果：LC术后切口、腹部、肺部感染发生率，A、B、C各组之间差异无统计学意义，但术中切口、腹腔污染及手术时间差异有统计学意义。结论：择期LC围手术期使用抗生素不能进一步降低术后切口、腹腔、肺部感染的发生率，但可减少切口和腹腔的污染，缩短手术时间。

     【关键词】 胆囊切除术，腹腔镜；抗生素类；围手术期；感染控制

    The value of using antibiotic in peroperative period of laparoscopic cholecystectomy

    FANG Zhiheng,HOU Yafeng,WU Wei.

    The People's Hospital of Tongling City,Tongling 244000,China

    【Abstract】 Objective:To explore the value of using antibiotic in peroperative period of laparoscopic cholecystectomy(LC).Methods:1 009 patients who were chosen an auspicious day to be performed LC were divided into 3 groups randomly:A group,antibiotic had not been used preand postoperation;B group,antibiotic had been used once on the operative day;C group,antibiotic had been used for 3 days continuously after operation.Results:There was no significant difference among A,B,C group in the terms of the incision,abdominal and pulmonic infection incidence rate,but there was significant difference in terms of the pollution rate of incision and abdominal cavity and the operation time.Conclusions:The use of antibiotic in peroperative period of LC can't decrease the incidence rate of the incision,abdominal and pulmonic infection;but the antibiotis can decrease the pollution of incision and abdominal cavity,shorten the operative time. ......

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