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目的:探讨剖宫产前碘伏消毒阴道对产后子宫内膜炎和腹部切口感染的预防作用。方法:选取2012年2月~2013年2月在北华大学附属医院产科行子宫下段剖宫产的产妇198例,随机分为观察组和对照组,每组各99例。观察组在手术前30 min内用0.4%碘伏纱布消毒阴道,对照组不做任何处理。对比两组产妇术后子宫内膜炎和腹部切口感染发生率。结果:两组产妇子宫内膜炎发生率比较差异无统计学意义(P>0.05);胎膜早破产妇中,观察组子宫内膜炎发生率低于对照组,差异有统计学意义(P<0.05);胎膜未破产妇中,两组产妇子宫内膜炎发生率比较差异无统计学意义(P>0.05);无论是否临产,两组产妇子宫内膜炎发生率比较差异均无统计学意义(P>0.05);两组腹部切口愈合不良发生率比较差异无统计学意义(P>0.05)。结论:剖宫产前碘伏消毒阴道能够有效降低胎膜早破产妇产后子宫内膜炎的发生率,但无法降低术后腹部切口愈合不良的发生率。
Objective: To investigate the precautionary effect of iodine disinfection vagina before cesarean section on postpartum endometritis and abdominal incision infection. Methods: A total of 198 maternal women undergoing cesarean section at the obstetrics department of Beihua University Hospital from February 2012 to February 2013 were randomly divided into observation group and control group, with 99 cases in each group. The observation group disinfected the vagina with 0.4% iodophor gauze within 30 min before operation, while the control group did not do any treatment. The incidences of endometritis and abdominal incision infection were compared between the two groups. Results: There was no significant difference in the incidence of endometritis between the two groups (P> 0.05). Among the premature rupture of membranes, the incidence of endometritis in observation group was lower than that in control group (P <0.05). There was no significant difference in the incidence of endometritis between the two groups (P> 0.05). There was no statistical difference in the incidence of endometritis between the two groups (P> 0.05). There was no significant difference in the rate of incision healing between two groups (P> 0.05). Conclusion: Pre-cesarean section iodophor disinfection of the vagina can effectively reduce the incidence of postpartum endometritis of premature rupture of membranes, but can not reduce the incidence of postoperative abdominal incision healing.