壳聚糖创面修复膜凝胶预防产妇会阴切口感染的效果

发布时间：2018-07-04 11:25

本文选题：壳聚糖创面修复膜凝胶 + 会阴侧切　；参考：《中华医院感染学杂志》2015年22期

【摘要】：目的研究壳聚糖创面修复膜凝胶预防会阴侧切切口感染的效果,以降低感染发生率。方法选取2013年5月-2015年5月在医院分娩的200例产妇作为研究对象,所有产妇均行会阴侧切术,将产妇随机分为4组,其中壳聚糖创面修复膜凝胶组(CG组)、红霉素软膏组(EO组)、聚维酮碘组(I组)和头孢拉定胶囊组(CC组),每组各50例,比较各组产妇切口感染率、切口愈合及水肿程度、视觉模拟(VAS)评分及伤口愈合时间。结果切口感染率CG组及EO组均为0、I组及CC组均为2.0%,差异无统计学意义;各组产妇切口愈合和水肿程度,差异无统计学意义;VAS评分与切口愈合时间,CG组为(2.7±0.6)分与(6.6±1.8)d;EO组为(4.1±0.5)分与(8.9±1.7)d;I组为(5.5±0.8)分与(11.5±2.6)d;CC组为(5.8±0.7)分与(12.4±2.4)d,差异有统计学意义(P0.05)。结论壳聚糖创面修复凝胶可以预防会阴侧切口感染,缩短切口的愈合时间。
[Abstract]:Objective to study the effect of chitosan membrane gel on the prevention of infection of lateral perineal incision in order to reduce the incidence of infection. Methods 200 cases of parturient delivered in hospital from May 2013 to May 2015 were selected as study objects. All parturients were treated with lateral perineal resection. The parturients were randomly divided into 4 groups. Chitosan wound repair membrane gel group (CG group), erythromycin ointment group (EO group), povidone iodine group (group I) and cefradine capsule group (CC group) were treated with 50 cases in each group. Visual analogue (VAS) score and wound healing time. Results the incision infection rate in group CG and EO was 2.0 in group I and group CC, and there was no significant difference in wound healing and edema of parturient. There was no significant difference in VAS score and wound healing time between CG group (2.7 卤0.6) and CG group (6.6 卤1.8) days (4.1 卤0.5) and (8.9 卤1.7) day I group (5.5 卤0.8) and (11.5 卤2.6) days (5.8 卤0.7) and (12.4 卤2.4) days, respectively (P0.05). Conclusion chitosan gel can prevent infection of perineal incision and shorten wound healing time.
【作者单位】：武汉市第五医院妇产科;武汉市第五医院病理科;
【基金】：湖北省卫生厅科研基金资助项目(JX6C-25)
【分类号】：R719

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