抗菌药物围术期应用联合术中聚维酮碘宫腔擦洗预防剖宫产感染的研究

发布时间：2018-04-27 13:38

本文选题：抗菌药物 + 聚维酮碘　；参考：《中华医院感染学杂志》2015年12期

【摘要】：目的探讨剖宫产手术前使用抗菌药物和聚维酮碘宫腔擦洗对于预防剖宫产术后感染影响,以降低产妇剖宫产感染率。方法对医院2012年12月-2013年12月进行剖宫产分娩的120例产妇进行研究,将其随机分为手术前单纯应用抗菌药物组60例(对照组)和手术前使用抗菌药物联合聚维酮碘宫腔擦洗组60例(观察组),两组患者在手术后均进行静脉滴注甲硝唑3d,观察所有产妇手术后各项体征指标,数据均采用SPSS11.0统计软件进行分析处理。结果观察组产妇剖宫产术后发热发生率、切口感染率分别为95.00%及3.33%,对照组分别为100.00%及28.33%,两组比较差异有统计学意义(P0.05);两组产妇手术后血常规白细胞计数比较,差异有统计学意义(P0.05)。结论手术前使用抗菌药物联合聚维酮碘宫腔擦洗对于预防产妇剖宫产术后感染率的降低,有一定临床价值,值得临床使用。
[Abstract]:Objective to study the effects of antibiotics and povidone iodine on the prevention of infection after cesarean section and to reduce the infection rate of cesarean section. Methods 120 pregnant women who were delivered by cesarean section from December 2012 to December 2013 were studied. The patients were randomly divided into two groups: the control group (n = 60) and the control group (n = 60) which were treated with antibiotics alone before operation and with povidone iodine intrauterine scrub (n = 60). The patients in both groups were treated with intravenous infusion of metronitrate after operation. After 3 days of operation, all the signs and signs of all the puerpera were observed. The data were analyzed and processed by SPSS11.0 statistical software. Results the incidence of fever and incision infection rate were 95.00% and 3.33 in the observation group and 100.00% and 28.33 in the control group, respectively. The difference was statistically significant (P 0.05). Conclusion the use of antibiotics combined with povidone iodine intrauterine scrubbing before operation is of certain clinical value in preventing the reduction of infection rate after cesarean section in parturient and is worthy of clinical use.
【作者单位】：天津市职业病防治院妇产科;
【基金】：天津市卫生局重点规划基金资助项目(TW-2012C027)
【分类号】：R719.8

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