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目的:评价头孢唑啉与甲硝唑联用对盆腔炎产妇剖宫术感染的临床疗效。方法:选取2014年5月—2015年5月间收治的盆腔炎产妇剖宫术患者110例,按进入医院诊疗的编号将其分为观察组和对照组,每组55例;两组患者在接受剖宫术后,对照组患者在术后给予长程头孢唑啉与甲硝唑(5 d)治疗,观察组患者在术后给予短程头孢唑啉与甲硝唑(1 d);评价两组患者术后体温恢复正常状况、产褥病发生率、切口感染发生率和治疗费用。结果:观察组患者术后发生感染的产褥病发生率为16.36%稍低于对照组为20.00%(P>0.05),术后住院时间短于对照组(P<0.05),治疗费用明显低于对照组(P<0.05)。结论:临床上盆腔炎产妇剖宫术感染比其他种类手术更易发生感染,采用短程头孢唑啉与甲硝唑联用控制感染的治疗与长程控制感染的治疗具有相同疗效,并且能够极大降低患者的治疗费用。
Objective: To evaluate the clinical effect of cefazolin in combination with metronidazole on cesarean section infection in pelvic inflammatory disease. Methods: 110 cases of pelvic inflammatory maternal caesarean section admitted to our hospital from May 2014 to May 2015 were selected and divided into observation group and control group according to the number of entering the hospital for diagnosis and treatment, with 55 cases in each group. After the cesarean section, the patients in the control group were treated with long-term cefazolin and metronidazole (5 d) after surgery. The patients in the observation group were given short-term cefazolin and metronidazole (1 d) after operation. The patients in the two groups Patient postoperative body temperature returned to normal, the incidence of puerperal disease, incision infection and treatment costs. Results: The incidence of postoperative puerperal infection in the observation group was 16.36%, which was slightly lower than that in the control group (20.00%) (P> 0.05). The postoperative hospital stay was shorter than that in the control group (P <0.05) In the control group (P <0.05). CONCLUSIONS: Clinically infected women with pelvic inflammatory disease are more susceptible to infection through cesarean section than other types of surgery. The combination of short-term cefazolin and metronidazole to control infection has the same effect as long-term controlled infection and can greatly reduce the risk of patients Treatment costs.