首页|头孢唑林钠对腰椎间盘突出症手术患者术后炎症因子及疼痛程度的影响

头孢唑林钠对腰椎间盘突出症手术患者术后炎症因子及疼痛程度的影响

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目的:探究头孢唑林钠对腰椎间盘突出症(LDH)手术患者术后炎症因子及疼痛程度的影响。方法:选取2022 年 2 月—2023 年 10 月莆田九十五医院收治的 90 例LDH手术患者,随机分为两组,各 45 例。对照组予以阿莫西林钠克拉维酸钾,观察组予以头孢唑林钠。对比两组术后切口感染发生率、炎症因子、疼痛程度[视觉模拟评分法(VAS)]、不良反应。结果:观察组切口感染率略低于对照组,差异无统计学意义(P>0。05);术后 3 d,两组C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-6、IL-8、VAS评分均降低,观察组较对照组低,差异有统计学意义(P<0。05)。两组不良反应对比,差异无统计学意义(P>0。05)。结论:头孢唑林钠可减轻LDH手术患者的炎症反应,降低疼痛感,不增加切口感染率,安全性好。
Effect of Cefazolin Sodium on Postoperative Inflammatory Factors and Pain in Patients with Lumbar Disc Herniation Undergoing Surgery
Objective:To explore the effect of Cefazolin Sodium on postoperative inflammatory factors and pain levels in patients with lumbar disc herniation(LDH)undergoing surgery.Method:Ninety LDH surgical patients admitted to Putian 95 Hospital from February 2022 to October 2023 were selected and they were randomly divided into two groups,with 45 patients in each group.The control group received Amoxicillin Sodium and Clavulanate Potassium,while the observation group received Cefazolin Sodium.The incidence of postoperative incision infection,inflammatory factors,pain level[visual analogue scale(VAS)],and adverse reactions between two groups were compared.Result:The incision infection rate in the observation group was slightly lower than that in the control group,the difference was not statistically significant(P>0.05);Three days after surgery,both groups showed a decrease in C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),interleukin(IL)-6,IL-8,and VAS scores,which in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the adverse reactions rate between the two groups(P>0.05).Conclusion:Ceftazolin Sodium can alleviate inflammation and pain in patients undergoing LDH surgery,the occurrence of incision infections is not higher,and has the safety is good.

Lumbar disc herniationCeftazolin SodiumIncision infectionInflammatory factors

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莆田九十五医院 福建 莆田 351100

腰椎间盘突出症 头孢唑林钠 切口感染 炎症因子

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(35)