于斌（1987.6-），男，江苏常熟人，本科，主治医师，主要从事烧伤整形相关工作
邵胜（1982.6-），男，江苏常熟人，本科，副主任医师，主要从事烧伤整形相关工作
R63
目的 探究常规面部整形手术后局部使用抗生素预防感染的效果。方法 选取2019年5月-2022年 2月我院收治的180例接受常规面部整形手术的患者作为研究对象，随机分为观察组和对照组，各90例；再 将对照组及观察组中的高风险感染患者分为高风险对照组30例以及高风险观察组28例。对照组采用眼部浸 润软膏干预，观察组采用局部抗生素干预，比较两组及两亚组预防效果。结果 观察组伤口感染率低于对 照组，差异有统计学意义（P＜0.05）；两组切口裂开以及过敏性（接触性）皮炎发生率比较，差异无统计 学意义（P＞0.05）；两高风险亚组伤口感染、切口裂开、以及过敏性（接触性）皮炎发生率比较，差异无 统计学意义（P＞0.05）。结论 局部使用抗生素在面部整形手术中可预防伤口感染，且不会引起其他并发 症发生，值得临床应用。
Objective To explore the effect of local use of antibiotics to prevent infection after conventional facial plastic surgery. Methods From May 2019 to February 2022, 180 patients who underwent routine facial plastic surgery in our hospital were randomly divided into observation group and control group, with 90 cases in each group. The high-risk patients in the control group and the observation group were divided into high-risk control groups (30 cases) and high-risk observation groups (28 cases). The control group was treated with eye infiltration ointment, and the observation group was treated with local antibiotics.The preventive effects of the two groups and two subgroups were compared. Results The wound infection rate in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in the incision dehiscence and allergic (contact) dermatitis between the two observation groups (P>0.05). There was no significant difference in the incidence of wound infection, incision dehiscence, and allergic (contact) dermatitis between the two high-risk subgroups (P>0.05). Conclusion Local use of antibiotics in facial plastic surgery can prevent wound infection without causing other complications, which is worthy of clinical application.
于斌,邵胜,许明,等.局部使用抗生素在面部整形手术中的感染预防效果[J].医学美学美容,2023,32(3):20-22.
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