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剖宫产预防用抗菌药物现状分析

材料写作网    时间: 2020-08-15 04:06:18     阅读:

【摘 要】剖宫产是解决难产和许多产科难题,挽救产妇和围产儿的有效手段。术后感染是最常见并发症,并发感染的代价很高,围术期预防性抗菌药物的正确使用有助于降低术后感染率,减少产儿死亡。针对剖宫产预防用抗菌药物的选择、给药时机(切皮前或结扎脐带后)、给药时程,对新生儿的影响以及我国预防用抗菌药物使用现状,综述国内外用药指南及大量研究数据,以期为临床医师提供示范性指导及丰富的理论参考数据,促进临床合理用药。

【关键词】剖宫产;围手术期;抗菌药物;使用现状

The Status Of Antibacterials Prophylaxis Application For Cesarean Section

YANG Cai-hua CAI Jing ZHENG Ping

(Department of Pharmacy, Nanfang Hospital Southern Medical University, Guangzhou Guangdong 510515, China)

【Abstract】Cesarean section, which is an predominant method to resolve obstetric problems, playing an important role in saving lives of maternal and perinatal. Postoperative infection is the most common complication with high price. Reasonable application of antibacterials during perioperative period can decrease the rates of postoperative infection and perinatal death. Base on international guidelines and previous research data, this review focus on major subjects about the status of antibacterials application in China, such as how to choose appropriate preventative antibacterial, determine the exact program and timing of administration (before skin incision or after the umbilical cord ligation), and anticipate the subsequent adverse effects on newborns during perioperative period. Understanding the efficacy and complication of antibacterials prophylaxis for cesarean section during perioperative period will provide substantial administrate reference for the therapeutic application and establish the guidelines for clinical observation.

【Key words】Cesarean section; Perioperative period; Antiba...

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