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[腹式子宫切除术中抗生素预防策略]

[Strategies in antibiotic prophylaxis in abdominal hysterectomy].

作者信息

Tsankova M, Raĭcheva R

出版信息

Akush Ginekol (Sofiia). 1998;37(1):25-7.

PMID:9770793
Abstract

The following study presents the high effectiveness of the short-term antibiotic prophylaxis versus long-term in elective abdominal hysterectomy. The authors compare two groups of 68 patients each for a period of 10 months. In the first group 67 patients have received one antibiotic and one--a combination of two antibiotic per 24 hours. In the second group 66 patients have received one antibiotic and two patients--a combination of two antibiotics for a period of 3 days. The two groups were compared using two clinical characteristics--axillary temperature and pulse, and also postoperative complications--vulnerary infections (parametrial, subfascial, and subcutaneous) The results demonstrate that in these cases the short-term antibiotic prophylaxis has higher effectiveness than the long-term one in the prevention of febrile complications and postoperative infections.

摘要

以下研究表明,在择期腹部子宫切除术中,短期抗生素预防比长期预防具有更高的有效性。作者将两组各68例患者进行了为期10个月的比较。第一组中,67例患者每24小时接受一种抗生素,1例接受两种抗生素联合使用。第二组中,66例患者接受一种抗生素,2例接受两种抗生素联合使用,为期3天。使用两个临床特征——腋窝温度和脉搏,以及术后并发症——伤口感染(宫旁、筋膜下和皮下)对两组进行比较。结果表明,在这些病例中,短期抗生素预防在预防发热并发症和术后感染方面比长期预防更有效。

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