| 引用本文:丰雪琴1 许世伟1 吴永超2.自拟生肌汤预防剖宫产术后感染的临床观察[J].世界中医药,2014,9(03):. |
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| 自拟生肌汤预防剖宫产术后感染的临床观察 |
| Clinical Observation on Self-made Shengji Decoction to Prevent Postoperative Cesarean Infection |
| 投稿时间：2013-09-09 |
| DOI：10.3969/j.issn.1673-7202.2014.03.021 |
| 中文关键词: 剖宫术 术后感染 抗生素 自拟生肌汤 |
| English Keywords:Caesarean surgery Postoperative infection Antibiotics Self-made shengji decoction |
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| 中文摘要: |
| 目的：观察自拟生肌汤在预防剖宫产术后感染的临床疗效及其用药安全性。方法：将2009年3月至2013年3月收入本院并择期行剖宫产为分娩方式的产妇200例，随机分成治疗组和对照组，每组各100例，其中对照组术后采用头孢唑林1 g溶于100 mL氯化钠液稀释行静脉滴注，1 g/次，2次/d，连续3 d；治疗组将1 g头孢唑林溶于0.9%氯化钠液100 mL于术后行静脉滴注，1 g/次，1次/d，连续3 d，并连服自拟生肌汤7 d；比较两组患者术后体温、腹部切口恢复、子宫腔感染、盆腔感染、泌尿系统感染的情况及药物-经济-效益学指标（住院天数、均次住院费用），并监测患者的不良反应情况。结果：两组患者剖宫术后均无子宫腔、盆腔、泌尿系统感染病例发生；两组患者术后体温、切口愈合情况、血象等比较差异无统计学意义（P>0.05）；治疗组患者的住院天数及住院费用与对照组比较差异具统计学意义（P<0.05），均低于对照组（P<0.05）；两组患者均未见不良反应。结论：自拟生肌汤能有效地预防剖宫术后感染，缩短患者住院时间并减少住院费用，值得临床推广运用。 |
| English Summary: |
| To observe the clinical efficacy and safety of self-made Shengji decoction in prevention of infection after cesarean section.Methods：Two hundred pregnant women admitted to our hospital from March 2009 to March 2013 and received caesarean section for the delivery were randomly divided into observation group (n=100) and control group (n=100).Patients in control group received intravenous drip of 1g Cefazolin diluted in 100ml sodium chloride， 1g per time， 2 times per day for 3 to 5 days; Observation group gave patients intravenous drip of 1g Cefazolin diluted in 100 ml 0.9% sodium chloride， 1 g per time， 1 time a day for 3 days， as well as oral administration of self-made Shengji decoction.Patients’ body temperature after recovery， uterine cavity， abdominal incision infections， pelvic infections， urinary tract infections and drug-economic-efficiency indexes (inpatient days， inpatient costs)， and adverse reactions were observed and compared.Results：Neither group occurred uterine cavity， pelvic cavity， or urinary tract infections; the patients’ postoperative body temperature， wound healing， and hemogram showed no significant differences (P>0.05); there was significant difference between the two groups in terms of inpatient days and hospital costs (P<0.05); there was no adverse reactions in either group.Conclusion：Self-made shengji decoction can effectively prevent infection in postoperative cesarean section and shorten patients ' hospital stay and reduce hospital costs， and it is worth clinical application. |
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