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目的:研究两种不同产前备皮方法的会阴切口愈合情况。方法:将2 108例产前待产孕妇随机分为两组,观察组1 294例采用分娩前清洁局部皮肤不剃毛备皮法,对照组802例采用入院时清洁局部皮肤加术野剃毛备皮法,分别于胎儿娩出前皮肤采样细菌培养并统计术后会阴切口感染率。结果:观察组分娩前会阴部位皮肤细菌菌落数低于对照组,分娩后会阴切口Ⅰ度裂伤感染率低于对照组,两者差异有统计学意义(P<0.05)。结论:分娩前清洁皮肤不剃毛备皮法值得在产科推广。
Objective: To study the healing of perineal incision of two different prenatal skin preparation methods. Methods: A total of 2 108 prenatal pregnant women were randomly divided into two groups. In the observation group, 1 294 cases were treated with non-shaving skin preparation before cleaning, while 802 cases in the control group were cleaned with local skin preparation plus surgical shaving Skin method, respectively, before the fetus was delivered to the skin sampling bacterial culture and statistics of perineal incision infection rate. Results: The number of bacterial colonies in the perineal skin of the observation group before delivery was lower than that of the control group. The infection rate of Ⅰ degree laceration in the perineal incision after delivery was lower than that in the control group (P <0.05). Conclusions: Cleansing of the skin before delivery is not a shaving preparation that deserves promotion in obstetrics.