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目的回顾性对照分析本院小儿I类切口手术围手术期抗生素预防性使用情况。方法收集本院围术期未使用抗生素的小儿清洁手术病例93例为观察组,另随机抽取同期围术期使用抗生素的小儿清洁手术病例93例作为对照组,统计两组术后切口、呼吸道感染等发生率。结果非抗生素使用组术后伤口感染2例(2.15%),呼吸道感染2例(2.15%);抗生素使用组术后伤口感染1例(1.08%),呼吸道感染3例(3.23%)。统计学结果显示两组术后伤口感染率无统计学差异(P>0.05)。术后呼吸道感染率无统计学差异(P>0.05)。结论小儿I类切口手术非抗生素使用组与抗生素使用组术后伤口和呼吸道感染率无明显差异,小儿清洁手术一般情况下无需预防性使用抗生素。
Objective To retrospectively analyze the perioperative antibiotic prophylaxis of type I incision in children in our hospital. Methods Ninety-three cases of pediatric clean operation without antibiotics during the perioperative period were selected as the observation group. Ninety-three cases of pediatric patients undergoing perioperative antibiotics were randomly selected as the control group. The postoperative incision, respiratory tract infection Other incidence. Results Two patients (2.15%) were infected with wounds and two (2.15%) were infected with wounds after antibiotic therapy. One patient (1.08%) was infected with wounds and three (3.23%) were respiratory infections after antibiotic treatment. Statistical analysis showed no significant difference in postoperative wound infection rates between the two groups (P> 0.05). Postoperative respiratory infection rate was no significant difference (P> 0.05). Conclusion There was no significant difference in postoperative wound and respiratory infection rates between non-antibiotic use group and antibiotic use group in pediatric type I incision surgery. Preventive antibiotics were not needed in pediatric cleansing surgery.