中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
5期
872-873
,共2页
胎膜早破%剖宫产%发热%切口感染
胎膜早破%剖宮產%髮熱%切口感染
태막조파%부궁산%발열%절구감염
premature rupture of membrane ( PROM)%cesarean section%fever%incision infection
目的：探讨胎膜早破剖宫产时使用0．5％碘伏冲洗宫腔及腹部切口对术后宫腔感染及切口感染的防治作用。方法168例胎膜早破剖宫产患者，随机分为对照组和实验组，每组84例。对照组剖宫产术中使用0．9％的生理盐水冲洗宫腔及切口；实验组剖宫产术中使用0．5％碘伏冲洗宫腔及腹部切口。观察两组术后发热时间、血常规及腹部切口感染情况。结果实验组产妇术后切口感染、盆腔感染发生率均显著低于对照组（χ2值分别为6．753、7．181，均P＜0．05），且实验组术后白细胞、C反应蛋白、发热天数和住院天数均显著低于对照组（t值分别为5．075、14．521、12．813、4．484，均P＜0．05）。结论胎膜早破行剖宫产时使用0．5％碘伏冲洗宫腔及腹部切口能有效地减少术后发热时间，降低切口感染率。
目的：探討胎膜早破剖宮產時使用0．5％碘伏遲洗宮腔及腹部切口對術後宮腔感染及切口感染的防治作用。方法168例胎膜早破剖宮產患者，隨機分為對照組和實驗組，每組84例。對照組剖宮產術中使用0．9％的生理鹽水遲洗宮腔及切口；實驗組剖宮產術中使用0．5％碘伏遲洗宮腔及腹部切口。觀察兩組術後髮熱時間、血常規及腹部切口感染情況。結果實驗組產婦術後切口感染、盆腔感染髮生率均顯著低于對照組（χ2值分彆為6．753、7．181，均P＜0．05），且實驗組術後白細胞、C反應蛋白、髮熱天數和住院天數均顯著低于對照組（t值分彆為5．075、14．521、12．813、4．484，均P＜0．05）。結論胎膜早破行剖宮產時使用0．5％碘伏遲洗宮腔及腹部切口能有效地減少術後髮熱時間，降低切口感染率。
목적：탐토태막조파부궁산시사용0．5％전복충세궁강급복부절구대술후궁강감염급절구감염적방치작용。방법168례태막조파부궁산환자，수궤분위대조조화실험조，매조84례。대조조부궁산술중사용0．9％적생리염수충세궁강급절구；실험조부궁산술중사용0．5％전복충세궁강급복부절구。관찰량조술후발열시간、혈상규급복부절구감염정황。결과실험조산부술후절구감염、분강감염발생솔균현저저우대조조（χ2치분별위6．753、7．181，균P＜0．05），차실험조술후백세포、C반응단백、발열천수화주원천수균현저저우대조조（t치분별위5．075、14．521、12．813、4．484，균P＜0．05）。결론태막조파행부궁산시사용0．5％전복충세궁강급복부절구능유효지감소술후발열시간，강저절구감염솔。
Objective To investigate the prevention and treatment of postoperative intrauterine infection and incision infection in cesarean section with premature rupture of membrane (PROM) by using 0.5% iodophor to rinse uterine cavity and abdominal incision.Methods Totally 168 cases of PROM were randomly divided into experimental group and control group with 84 cases in each group.The control group used 0.9%normal sodium to douche uterine cavity and incision in cesarean section, while the experimental group used 0.5% iodophor. Heating time, hemogram and abdominal incision infection were observed and compared between two groups.Results The experimental group had significantly lower incidence of postoperative incision infection and pelvic infection than the control group (χ2 value was 6.753 and 7.181, respectively, both P<0.05), and white blood cells,C-reactive protein, fever days and hospital stay after operation in the experimental group were significantly lower than those in the control group (t value was 5.075, 14.521, 12.813 and 4.484, respectively, all P<0.05).Conclusion Using 0.5% iodophor to rinse uterine cavity and abdominal incision in cesarean section with PROM can effectively reduce postoperative fever time and incision infection rate.
