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目的验证臭氧在单纯阴道清洁度Ⅲ度受术者放置宫内节育器术前应用的可行性。探讨抗生素在放置宫内节育器手术中应用是否必要以及应用的范围。方法本研究主要通过问卷调查、妇科检查和实验室检查来完成。该服务站2012年11月—2014年4月选取610例要求放置宫内节育器单纯阴道清洁度Ⅲ度的妇女。分成二组,观察1组(术后非用药组)309例,观察2组(术后用药组)301例。术前均以12mg/L臭氧液500ml冲洗阴道。观察1组术后不处方抗生素;观察2组术后给应用抗生素。结果二组均无一例术后感染阳性病例。二组的2次复查指标,在自觉症状、体温、腹部体查、妇科检查、血象、妇科超声及阴道分泌物的阳性发生率比较差异无统计学意义(P>0.05)。结论臭氧治疗在单纯阴道清洁度Ⅲ度放置宫内节育器术前应用能有效治疗阴道炎及预防术后感染。可以及时放置宫内节育器,扩大手术适应证。术后无需常规处方抗生素,避免抗生素的滥用。值得临床推广。
Objective To verify the feasibility of ozonation in patients with simple vaginal cleanliness III degree by intraoperative IUD placement. To explore whether antibiotics in the application of intrauterine device placement is necessary and the scope of application. Methods This study was mainly completed by questionnaires, gynecological examinations and laboratory tests. The service station in November 2012 - April 2014 selected 610 cases of IUDs require simple vaginal cleanliness Ⅲ degree of women. Divided into two groups, observed in group 1 (postoperative non-medication group) 309 cases, observation group 2 (postoperative medication group) 301 cases. Preoperative with 12mg / L 500ml ozone solution to wash the vagina. A group of postoperative antibiotics were observed; two groups were given antibiotics after operation. The results of the two groups were no positive cases of postoperative infection. There was no significant difference between the two groups (P> 0.05) in the 2 retesting indexes in subjective symptoms, body temperature, abdominal examination, gynecological examination, blood, gynecological ultrasound and vaginal secretions. Conclusion Ozone therapy can effectively treat vaginitis and prevent postoperative infection in patients with simple vaginal cleanliness Ⅲ degree intrauterine device placement. IUD can be placed in time to expand the indications for surgery. No postoperative routine prescription antibiotics, to avoid the abuse of antibiotics. Worth clinical promotion.