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目的研究葡萄糖酸氯己定术前清洗对儿童会阴部手术后感染的预防效果。方法通过感染监测和临床观察,研究葡萄酸氯己定消毒液术前清洗方法某医院住院患儿会阴部手术后感染及其不良反应情况,同时与传统清洗方法作平行比较观察。结果 321例所有患儿顺利完成清洗操作,用葡萄糖酸氯己定消毒液清洗法(试验组)的156例会阴部手术的患儿未出现局部或全身不适,术后医院感染发生率为1.28%。传统清洗法(对照组)165例会阴部手术的患儿中,出现6例患儿清洗区域皮肤发红、干燥不适,不良反应率为3.64%;术后医院感染发生率为6.67%。结论使用浓度为40 g/L的葡萄糖酸氯己定消毒液作术前清洗,能够显著减少会阴部手术患儿术后感染率。
Objective To study the preventive effect of preoperative cleansing of chlorhexidine gluconate on perineal infection in children. Methods Infection monitoring and clinical observation were conducted to study the infection and adverse reactions of perineal operation in hospitalized children with preoperative cleansing method of chlorhexidine gluconate disinfectant, and compared with traditional cleaning methods. Results A total of 321 cases of children were successfully cleaned. All 156 cases of perineal operation with chlorhexidine gluconate disinfectant cleaning method (test group) showed no local or systemic discomfort, and postoperative nosocomial infection rate was 1.28%. In the traditional cleaning method (control group), 165 cases of perineal operation in children, there are 6 cases of children washing area skin redness, dry discomfort, adverse reaction rate was 3.64%; postoperative hospital infection rate was 6.67%. Conclusion Preoperative cleansing with chlorhexidine gluconate at a concentration of 40 g / L can significantly reduce the postoperative infection rate in perineal surgeries.