THE EXPLORATION OF PREVENTION OF WOUND INFECTION IN CHOLECYSTECTOMY

L. Ying
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Abstract

Objective:To explore the timing and indications of preventive antibiotics-using cholecystectomy.Methods:304 cases of cholecystectomied patients were divided into 4 groups and compared.Results:Compare wound infection rate of preventive group with that of control group,χ 2=8.5,P0.01,with that of group having more infectious chance,χ 2= 7.1 ,P0.01,with that of group having less infectious chance,χ 2=0.4,P0.05.Compare wound infection rate of all patients that have different preventive medicine-using time,χ 2=0.02,P0.05.Conclusion:preventive antibiotics-using in group having more infectious chance can decrease postoperative wound infection rate apparently.Medicine should be used from anesthesia induction period,and using time shouldn't excess 2 days.Of all medicines,gentamicin and metronidazole are preferable medicines to choose.
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胆囊切除术中预防创面感染的探讨
目的:探讨预防性应用抗生素胆囊切除术的时机和适应证。方法:将304例胆囊切除术患者分为4组进行比较。结果:预防组与对照组伤口感染率比较,χ 2=8.5,P0.01;感染机会较多组与感染机会较少组比较,χ 2= 7.1,P0.01;不同预防用药时间患者伤口感染率比较,χ 2=0.02,P0.05。结论:感染机会较多的组使用预防性抗生素可明显降低术后创面感染率。从麻醉诱导期开始用药,用药时间不超过2天。在所有药物中,庆大霉素和甲硝唑是首选药物。
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期刊介绍: Chinese Journal of Postgraduates of Medicine (founded in 1978, monthly) is one of the series of journals of the Chinese Medical Association (CMA) under the supervision of the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association (CMA) and Dalian Institute of Theoretical Medicine (DITM). It is a core journal of Chinese science and technology, a statistical source journal of Chinese scientific and technical papers, and a statistical source journal of China Academic Journal Impact Factor Annual Report. The journal adheres to the purpose of using continuing medical education and post training, highlights new theories, new knowledge, new methods and new technologies, and focuses on the combination of theory and practice, and the combination of popularisation and improvement. Main columns: Special tutorials, expert forums, clinical treatises, clinical experience, reviews and lectures, continuing medical education, teaching and research, advanced training forum, drugs and clinics, overview of progress, introduction of new technologies, imaging and clinics, lessons learnt, discussions and evaluations, case reports, discussions of clinical cases, conference proceedings, and domestic and international academic developments. The main target readers are clinical medical personnel in internal medicine, surgery, gynaecology, paediatrics and ophthalmology.
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