CAJ | 학술논문

目的比较0.15％碘伏溶液、1∶5000高锰酸钾溶液和中成药消毒剂-洁阴洗剂用于阴式全宫切除术前阴道灌洗的消毒效果.方法选择120例阴式全子宫切除术前行阴道灌洗的患者,随机分成3组,每组40例,分别于术前3天用0.15％碘伏溶液、1∶5000高锰酸钾溶液和中成药消毒剂-洁阴洗剂溶液进行阴道灌洗.术后比较三组患者的观察指标:术后连续3天体温、术后第3天白细胞、阴道粘膜损伤、阴道残端愈合、阴道流血、费用情况.结果三组患者术后阴道粘膜损伤、阴道残端愈合、阴道流血、费用等差异有统计学意义(P＜0.01),术后连续3天体温、术后第3天血白细胞的观察结果差异无统计学意义(P＞0.05).结论 0.15％碘伏溶液消毒效果明显优于1∶5000高锰酸钾溶液和中成药消毒剂-洁阴洗剂,而且从制作方法、成本和对环境影响等方面综合考虑,0.15％碘伏溶液亦有优越性.
목적 비교0.15％전복용액、1∶5000고맹산갑용액화중성약소독제-길음세제용우음식전궁절제술전음도관세적소독효과.방법 선택120례음식전자궁절제술전행음도관세적환자,수궤분성3조,매조40례,분별우술전3천용0.15％전복용액、1∶5000고맹산갑용액화중성약소독제-길음세제용액진행음도관세.술후비교삼조환자적관찰지표:술후련속3천체온、술후제3천백세포、음도점막손상、음도잔단유합、음도류혈、비용정황.결과 삼조환자술후음도점막손상、음도잔단유합、음도류혈、비용등차이유통계학의의(P＜0.01),술후련속3천체온、술후제3천혈백세포적관찰결과차이무통계학의의(P＞0.05).결론 0.15％전복용액소독효과명현우우1∶5000고맹산갑용액화중성약소독제-길음세제,이차종제작방법、성본화대배경영향등방면종합고필,0.15％전복용액역유우월성.
Objective To compare the disinfection effects of 0.15％ iodine solution, 1∶5000 potassium permanganate solution and disinfectant of Chinese medicine-Jieyin lotion through undergoing vaginal lavage before the reception of laparoscopically assisted vaginal hysterectomy.Methods 120patients who had undergone vaginal lavage before receiving laparoscopically assisted vaginal hysterectomy were selected and randomly divided into 3 groups,with 40 patients for each group.The patients of 3 groups were respectively given 0.15％ iodine solution,1∶5000 potassium permanganate solution and disinfectant of Chinese medicine-Jieyin lotion for vaginal lavage for 3 days before the surgery.Then,after the surgery,the observed'indexes were compared:postoperative body temperatures for 3 consecutive days,the postoperative condition of white blood cell (WBC),vaginal mucosa damage,vaginal-cuff healing,vaginal bleeding,and corresponding costs on the 3rd day.Results There were statistical significance (P ＜ 0.01) of the postoperative conditions of vaginal mucosa damage,vaginal-cuff healing,vaginal bleeding and corresponding costs of the patients in 3 groups,and there was no distinctive difference of the observed results of the body temperatures for 3 consecutive days, and the postoperative condition of WBC on the 3rd day.Conclusions The disinfection effects of 0.15％ iodine solution is obviously superior to those of 1 ∶5000 potassium permanganate solution and disinfectant of Chinese medicine-Jieyin lotion.Furthermore, in consideration of the production method,cost and environment impacts,the 0.15％ iodine solution is also regarded to be superior.