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目的探讨一次性阴道抑菌吸附剂在妇科术前用药的效果观察。方法选择100例拟行子宫全切术的患者随机分为研究组和对照组。研究组在术前3d碘伏棉球阴道擦拭消毒后置入唯阴康1枚,6～9h取出2次/日;对照组术前用0.05%碘伏液阴道冲洗消毒3d2次/日。随访观察两组患者术后并发症发生情况。结果研究组和对照组术后发热率分别为2%、8%;腹部切口感染率分别为2.4%、7.5%;两组比较差异无统计学意义(P>0.05)。术后第2天血象异常升高率分别为10%、24%;阴道分泌物异常改变阳性率分别为2%、16%;阴道残端甲级愈合率分别为98%、86%,两组比较差异有统计学意义(P<0.05)。结论妇科术前应用一次性阴道抑菌吸附剂可减少手术并发症的发生。
Objective To investigate the effect of one-time vaginal antibacterial adsorbent on gynecological premedication. Methods 100 cases of hysterectomy were randomly divided into study group and control group. The research group in the preoperative 3d iodine cotton balls vaginal wiping disinfection after the imposition of Wei Yin Kang, 6 ~ 9h removed 2 times / day; control group preoperative 0.05% iodophor solution vaginal wash 3d2 times / day. Follow-up observation of two groups of patients with postoperative complications. Results The postoperative fever rates in study group and control group were 2% and 8%, respectively. The infection rates of abdominal incision were 2.4% and 7.5% respectively. There was no significant difference between the two groups (P> 0.05). The abnormal rates of hematological abnormalities on the second day after operation were 10% and 24%, respectively. The positive rates of abnormal vaginal discharge were 2% and 16% respectively. The first grade of vaginal stumps were 98% and 86% The difference was statistically significant (P <0.05). Conclusion Preoperative gynecological vaginal antibacterial adsorbent can reduce the incidence of complications.