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目的:探讨在剖宫产术中使用0.9%氯化钠注射液加甲硝唑冲洗盆腔的必要性。方法:选取2014年8月至2016年8月于始兴县太平镇卫生院妇产科进行剖宫产术的产妇220例,随机分成对照组和观察组,每组110例。两组产妇分娩后,观察组用0.9%氯化钠注射液加0.5 g·(100 mL)~(-1)的甲硝唑溶液冲洗盆腔,并于腹腔内留置一定量的0.9%氯化钠注射液加甲硝唑溶液,对照组仅用0.9%氯化钠注射液冲洗盆腔,并于腹腔内留置一定量的0.9%氯化钠注射液。观察两组产妇的各项指标。结果:观察组产妇的手术切口感染概率,盆腹腔粘连概率,不良反应发生的概率,患子宫内膜炎的概率均显著低于对照组,差异具有统计学意义(P<0.05)。结论:剖宫产术中使用0.9%氯化钠注射液加甲硝唑冲洗盆腔的方法可以显著降低产妇手的术切口感染概率、发生盆腹腔粘连、不良反应及患子宫内膜炎。
Objective: To investigate the necessity of irrigating pelvic cavity with 0.9% sodium chloride injection plus metronidazole in cesarean section. Methods: From August 2014 to August 2016, 220 maternal women who underwent cesarean section in Department of Obstetrics and Gynecology, Taiping Hospital, Shixing County were randomly divided into control group and observation group with 110 cases in each group. After the two groups of mothers gave birth, the observation group was treated with 0.9% sodium chloride injection plus 0.5 g · (100 mL) -1 metronidazole solution to wash the pelvis, and a certain amount of 0.9% sodium chloride Injection plus metronidazole solution, the control group only 0.9% sodium chloride injection wash pelvic cavity, and in the abdominal cavity with a certain amount of 0.9% sodium chloride injection. Observe the two groups of maternal indicators. Results: The probability of surgical incision infection, probability of pelvic peritoneal adhesions, probability of adverse reactions and endometritis in the observation group were significantly lower than those in the control group (P <0.05). Conclusion: The method of 0.9% sodium chloride injection plus metronidazole flushing pelvic cavity in cesarean section can significantly reduce the probability of surgical incision infection in the hand of the pregnant women, abdominal pelvic adhesions, adverse reactions and endometritis.