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[结肠手术中结肠的抗生素准备或术前胃肠外预防。一项随机研究]

[Antibiotic preparation of the colon or preoperative parenteral prophylaxis in colon surgery. A randomized study].

作者信息

Flückiger M, Berger J, Casey P, Aeberhard P

出版信息

Helv Chir Acta. 1980 Dec;47(5):659-62.

PMID:7009502
Abstract

A double-blind randomised trial was carried out among 72 patients undergoing elective colorectal surgery. 37 patients received Metronidazole and Kanamycin systemically, 35 patients the same medicaments orally. We could not find any difference between the two ways of application. These results are in opposition to those of a comparable study of Birmingham, where the therapy was significantly less successful in the oral group. This fact is discussed and the parenteral, short-term prophylaxis is recommended.

摘要

对72例择期行结直肠手术的患者进行了一项双盲随机试验。37例患者全身应用甲硝唑和卡那霉素,35例患者口服相同药物。我们未发现两种用药方式之间存在任何差异。这些结果与伯明翰一项类似研究的结果相反,在该研究中口服组的治疗效果明显较差。对这一事实进行了讨论,并推荐采用胃肠外短期预防措施。

相似文献

1
[Antibiotic preparation of the colon or preoperative parenteral prophylaxis in colon surgery. A randomized study].[结肠手术中结肠的抗生素准备或术前胃肠外预防。一项随机研究]
Helv Chir Acta. 1980 Dec;47(5):659-62.
2
Single dose cefuroxime/metronidazole versus metronidazole alone in elective colorectal surgery.择期结直肠手术中单次剂量头孢呋辛/甲硝唑与单用甲硝唑的比较
Am Surg. 1984 Aug;50(8):418-23.
3
One versus three doses of metronidazole/mezlocillin for antibiotic prophylaxis in colon surgery.
Chemioterapia. 1987 Jun;6(2 Suppl):604-5.
4
A prospective, randomized, double-blind study of 10% mannitol mechanical bowel preparation combined with oral neomycin and short-term, perioperative, intravenous Flagyl as prophylaxis in elective colorectal resections.
Surgery. 1985 Nov;98(5):861-5.
5
Peroperative systemic prophylaxis in colorectal surgery.
Drugs Exp Clin Res. 1985;11(2):111-4.
6
Prophylactic metronidazole in electrive colo-rectal surgery.择期结直肠手术中的预防性甲硝唑应用
Acta Chir Scand. 1980;146(1):71-5.
7
[Perioperative antibiotic prophylaxis in colon surgery. Metronidazole and tobramycin versus metronidazole alone. A prospective randomized study].[结肠手术围手术期抗生素预防。甲硝唑和妥布霉素与单用甲硝唑的比较。一项前瞻性随机研究]
Schweiz Med Wochenschr. 1983 Mar 19;113(11):392-4.
8
Comparison between systemic and oral antimicrobial prophylaxis in colorectal surgery.结直肠手术中全身预防性使用抗菌药物与口服预防性使用抗菌药物的比较。
Lancet. 1979 Apr 28;1(8122):894-7. doi: 10.1016/s0140-6736(79)91373-4.
9
[Antibiotic prophylaxis in elective colon surgery: comparison of the combination of metronidazole (Flagyl)/cefazolin (Kefzol) with cefazolin alone].
Helv Chir Acta. 1981 Apr;48(1-2):235-42.
10
24-hour systemic antibiotic prophylaxis in large-bowel surgery.
Neth J Surg. 1981 Mar;33(1):3-9.

引用本文的文献

1
Preoperative combined mechanical and oral antibiotic bowel preparation for preventing complications in elective colorectal surgery.择期结直肠手术中术前联合机械和口服抗生素肠道准备预防并发症。
Cochrane Database Syst Rev. 2023 Feb 7;2(2):CD014909. doi: 10.1002/14651858.CD014909.pub2.
2
Antimicrobial prophylaxis for colorectal surgery.结直肠手术的抗菌预防
Cochrane Database Syst Rev. 2014 May 9;2014(5):CD001181. doi: 10.1002/14651858.CD001181.pub4.