鼻中隔矫正术围术期抗生素使用情况的Meta分析与评价

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Abstract Objective To standardize the use of antibiotics and guide rational use of clinical drugs by evaluating the use of antibiotics for septoplasty.Methods Related articles were retrieved from both Chinese and English databases.Results There were six randomized controlled trials included in this study. Whether antibiotics were used during anesthesia or for seven consecutive days after operation did not lead to significant difference in the risks of incidence of postoperative infections, hematoma or purulent nasal discharge [relative risk (RR)=0.98 95%, CI:0.61-1.56, P=0.93]. Whether antibiotics were used or not during septoplasty had the same effect[relative risk (RR)=1.32 95%,CI:0.90-1.95, P=0.16].Conclusions Meta-analysis has showed that no significant difference is found between the group that receives antibiotics once preoperatively and the group that takes antibiotics for 7 days postoperatively.

Key words： septoplasty antibiotic systematic review

Received: 29 November 2016

ZTFLH:	R978.1
	R765.3

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	Articles by authors
	XIE Shaoling
	CHENG Guohua
	LIU Yonggang
	and ZHANG Guoxiang

Cite this article:

XIE Shaoling,CHENG Guohua,LIU Yonggang等. Antibiotics in septoplasty: a systematic review[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(7): 707-711.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2017/V28/I7/707

[1]	Rechtweg J S, Paolini R V, Belmont B J, et al. Postoperative antibiotic use of septoplasty: a survey of practice habits of the membership of the American Rhinologic Society[J]. Am J Rhinol,2001,22:315-320.
[2]	候丽达.鼻内镜手术术后感染相关因素分析[J].中华医院感染学杂志,2013,23(6):1365-1368.
[3]	Makitie A, Aaltonen L M, Hytonen M, et al. Postoperative infection following nasal septoplasty[J]. Acta Otolaryngol Suppl, 2000,543:165-166.
[4]	Teichgraeber J F, Russo R C. Treatment of nasal surgery complications [J].Ann Plast Surg,1993,30:80-88.
[5]	Ricci G, D’Ascanio L.Antibiotics in septoplasty: evidence or habit? [J].Am J Rhinol Allergy,2012,26(3):194-196.
[6]	Lilja M, M?kitie A A, Anttila V J, et al. Cefuroxime as a prophylactic preoperative antibiotic in septoplasty.A double blind randomized placebo controlled study [J]. Rhinology, 2010,49(1):58-63.
[7]	Andrews P J,East C A,Jayaraj S M, et al. Prophylactic vs postoperative antibiotic use in complex septorhinoplasty surgery: a prospective,randomized,single-blind trial comparing efficacy [J].Arch Facial Plast Surg,2006,8(2):84-87.
[8]	Caniello M, Passerotti G H, Goto E Y, et al. Antibiotics in septoplasty: is it necessary[J]. Braz J Otorhinolaryngol,2005,71(6):734-738.
[9]	Erkul E, Babayigit M, Kuduban O. Postoperative cephazolin usage is sufficient for preventing infection after septoplasty procedure[J]. Allergy Rhinol (Providence),2011,2(2):e54-e57.
[10]	Mermer H,Guven M,Yilmaz M S.Postoperative use of antibiotics in septoplasty cases: is it really necessary? [J].Kulak Burun Bogaz Ihtis Derg, 2014,24(1):17-20.
[11]	Durmaz E, Dursun E, Iriz A,et al. Changes in the ocular and nasal cultures in patients who had undergone septoplasty[J].J Otolaryngol Head Neck Surg, 2011,40(6):493-498.
[12]	Kaygusuz I, Kizirgil A, Karlida T, et al. Bacteriemia in septoplasty and septorhinoplasty surgery[J]. Rhinology, 2003,41(2):76-79.
[13]	Perl T M. Prevention of staphylococcus aureus infections among surgical patients: beyond traditional perioperative prophylaxis[J].Surgery, 2003,134(5):10-17.
[14]	Garcia L B, de Oliveira P W, Vidigal T de A, et al. Caudal septoplasty: efficacy of a surgical technique-preliminary report[J]. Braz J Otorhinolaryngol, 2011,77:178-184.
[15]	Karaman E,Alimoglu Y, Aygun G, et al. Effect of septoplasty and per-operative antibiotic prophylaxis on nasal flora [J].B-ENT,2012,8(1):13-19.
[16]	Koc S,Uysal I O,Uysal E B, et al. The comparison of bacteremia and amount of bleeding during septoplasty [J]. Eur Arch Otorhinolaryngol,2012, 269(4):1139-1142.
[17]	Awan M S, Iqbal M. Nasal packing after septoplasty: a randomized comparison of packing versus no packing in 88 patients [J].Ear Nose Throat J, 2008,87(11):624-627.
[18]	Gioacchini F M, Alicandri-Ciufelli M, Kaleci S,et al. The role of antibiotic therapy and nasal packing in septoplasty[J].Eur Arch Otorhinolaryngol,2014,271(5):879-886.
[19]	Hajiioannou J K, Bizaki A, Fragiadakis G.Optimal time for nasal packing removal after septoplasty. A comparative study[J].Rhinology,2007,45(1):68-71.
[20]	Cukurova I, Cetinkaya E A, Mercan G C,et al.Retrospective analysis of 697 septoplasty surgery cases: packing versus trans-septal suturing method[J].Acta Otorhinolaryngol Ital, 2012,32(2):111-114.