新医学
新醫學
신의학
NEW CHINESE MEDICINE
2014年
1期
42-44
,共3页
安多福%全子宫切除术%预防感染
安多福%全子宮切除術%預防感染
안다복%전자궁절제술%예방감염
Povidone iodine%Total abdominal hysterectomy%Infection prevention
目的：探讨安多福冲洗盆腔预防腹式全子宫切除术后感染的效果。方法选择腹式全子宫切除术患者150例，采用随机对照研究方法，设立应用安多福冲洗盆腔的安多福组50例，应用生理盐水冲洗盆腔的对照组100例，比较两组在术后病率、局部感染、术后白细胞改变、抗生素使用时间及术后住院时间的差异。结果安多福组术后病率为8％，明显低于对照组术后病率21％（P＜0.05）；两组术后感染率和血象异常率比较差异无统计学意义（P＞0.05）；安多福组使用抗生素（4.45±2.21）d，明显短于对照组的（5.54±1.89）d，两组比较差异有统计学意义（P＜0.01）；安多福组术后平均住院（6.42±2.30）d，对照组术后平均住院（7.14±2.09），两组比较差异无统计学意义（P＞0.05）。结论腹式全子宫切除术术中应用安多福冲洗盆腔，是安全、简便的预防术后感染方法，可降低术后病率及缩短抗生素使用时间。
目的：探討安多福遲洗盆腔預防腹式全子宮切除術後感染的效果。方法選擇腹式全子宮切除術患者150例，採用隨機對照研究方法，設立應用安多福遲洗盆腔的安多福組50例，應用生理鹽水遲洗盆腔的對照組100例，比較兩組在術後病率、跼部感染、術後白細胞改變、抗生素使用時間及術後住院時間的差異。結果安多福組術後病率為8％，明顯低于對照組術後病率21％（P＜0.05）；兩組術後感染率和血象異常率比較差異無統計學意義（P＞0.05）；安多福組使用抗生素（4.45±2.21）d，明顯短于對照組的（5.54±1.89）d，兩組比較差異有統計學意義（P＜0.01）；安多福組術後平均住院（6.42±2.30）d，對照組術後平均住院（7.14±2.09），兩組比較差異無統計學意義（P＞0.05）。結論腹式全子宮切除術術中應用安多福遲洗盆腔，是安全、簡便的預防術後感染方法，可降低術後病率及縮短抗生素使用時間。
목적：탐토안다복충세분강예방복식전자궁절제술후감염적효과。방법선택복식전자궁절제술환자150례，채용수궤대조연구방법，설립응용안다복충세분강적안다복조50례，응용생리염수충세분강적대조조100례，비교량조재술후병솔、국부감염、술후백세포개변、항생소사용시간급술후주원시간적차이。결과안다복조술후병솔위8％，명현저우대조조술후병솔21％（P＜0.05）；량조술후감염솔화혈상이상솔비교차이무통계학의의（P＞0.05）；안다복조사용항생소（4.45±2.21）d，명현단우대조조적（5.54±1.89）d，량조비교차이유통계학의의（P＜0.01）；안다복조술후평균주원（6.42±2.30）d，대조조술후평균주원（7.14±2.09），량조비교차이무통계학의의（P＞0.05）。결론복식전자궁절제술술중응용안다복충세분강，시안전、간편적예방술후감염방법，가강저술후병솔급축단항생소사용시간。
Objective To explore the infection prevention effect of povidone iodine flushing pelvic ca-vacity in total abdominal hysterectomy. Method One hundred and fifty cases were divided into experimental group including 50 cases which pelvic cavacity were flushed with povidone iodine,and control group including 1 00 cases which were flushed with normal saline. Febrile morbidity,local infection,change of leukocyte,anti-biotic use time and hospital days after operation were observed. Result Febrile morbidity were 8% and 21%in experimental and control groups,respectively (P<0.05 ). The difference between experimental and control group on both infection rate and blood abnormalities rate was not statistically significant after operation (P>0.05). Experimental group used antibiotic for (4.45 ±2.21 )days and control group used for (5.54 ±1.89) days,which had statistical differences. Experimental group stayed for (6.42 ±2.30)days after operation whereas control group for (7.1 4 ±2.09)days,which had no statistical difference. Conclusion Pelvic cavac-ity flushing by povidone iodine in total abdominal hysterectomy is safe and convenient method which can prevent infection. Furthermore,it could lower the febrile morbidity and shorten the use time of antibiotics.
