腹腔镜子宫肌瘤切除术围手术期应用抗菌药物的情况回顾性分析

来源期刊：广州医药 | 51-55 发布时间：2022-08-03 收稿时间：2025/11/13 18:19:51 阅读量：19

作者：: 陈月月,

张梦真,

沈玲,

李展展,

关键词：: 腹腔镜子宫肌瘤术后感染抗菌药物多因素分析; laparoscopy uterine fibroids postoperative infection antibacterial drugs multivariate analysis

DOI：: 10.3969/j.issn.1000-8535.2022.04.012

收稿时间：: 2021-07-04
修订日期：
接收日期：
引用总数：: 3

目的对腹腔镜子宫肌瘤切除术围手术期应用抗菌药物的情况进行回顾性分析,并分析腹腔镜子宫肌瘤切除术围手术期感染的影响因素。方法选择2018年5月—2021年5月在我院行腹腔镜子宫肌瘤切除术的患者72例进行回顾性分析。收集患者一般资料及抗生素使用情况,根据有无术后感染将患者分为2组,比较2组患者上述各资料,并采用多因素分析法判断各因素对腹腔镜子宫肌瘤切除术后感染的综合作用。结果本次纳入的72例腹腔镜子宫肌瘤切除术患者共有16例出现术后感染,术后感染率为22.22%。多因素Logistic回归分析结果显示:年龄≥50岁、手术时间≥60 min、合并糖尿病为腹腔镜子宫肌瘤切除术围手术期感染的危险因素,预防性使用抗生素、术前≤2 h抗生素使用、术后抗生素使用≤48 h为保护性因素(P<0.05)。结论腔镜子宫肌瘤切除术患者术后感染率为22.22%,抗菌药物使用时机及使用时间对腹腔镜子宫肌瘤切除术患者术后感染有重要的影响,此外患者年龄、手术时间、合并糖尿病情况也与患者术后感染有关。

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