吉林大学学报（医学版）2017，Vol.43Issue(3)：622-625,4.DOI:10.13481/j.1671-587x.20170330
腹股沟疝无张力修补术患者预防性应用抗生素的临床观察及其意义
Clinical observation of preventive use of antibiotic inguinal hernial repair without tension and its significance
摘要
Abstract
Objective:To explore the necessity of the preventive use of antibiotics and the effects of age and operation time on the efficacy of inguinal hernia repair without tension,and to elucidate the clinical significance of the preventive application of prophylactic antibiotics in inguinal hernia repair without tension.Methods:A total of 228 patients with inguinal hernia repair without tension were selected,amomg them 42 cases with high infection factors were treated with antibiotics (treated group),and 186 cases were not treated with antibiotics(untreated group) during the preoperative period.The prophylactic antibiotics were given 30 min before surgery,and the conventional dose was not used more than 48 h after surgery.All the cases were treated with artificial repair materials for the procedure of inguinal hernial repair without tension.The age,highest body temperature,white blood cell count,operation time,hospitalization time,and postoperative body temperature of all the 228 cases were recorded and analyzed statistically.Results:The preoperative and postoperative white blood cell counts had significant differences between the patients<60 years and the patients≥60 years in untreated group (P<0.05);there were no significant differences in the operation time,hospitalization time and body temperature between the patients<60 years and the patients≥60 years in untreated group (P>0.05).Compared with the patients with the operation time>90 min,the white blood cell count and hospitalization time of the patients with the operation time ≤90 min were increased (P<0.05).There were no significant differences of the body temperature and age between the patients with the operation time >90 min and the patients with the operation time≤90 min (P>0.05).The white blood cell count,operation time,hospitalization time and postoperative body temperature of the patients between treated group and untreated group had no significant differences (P>0.05).Conclusion:The use of antibiotics in the high-risk patients and non-use of antibiotics in the majority of elective inguinal hernia repair without tension can ensure the safe and performability of the patients.关键词
腹股沟疝/无张力疝修补/抗生素/预防性使用Key words
inguinal hernia/tension-free repair/antibiotic/preventive use分类
医药卫生引用本文复制引用
石俊忠,庄建彬,孙惠军,陈玉琢,宋维亮,孟祥朝..腹股沟疝无张力修补术患者预防性应用抗生素的临床观察及其意义[J].吉林大学学报（医学版）,2017,43(3):622-625,4.基金项目
天津市卫计委重点攻关项目资助课题[15KG116(2016-06)] （2016-06）
