甲硝唑预防羊水污染会阴切口导致感染的效果观察

发布时间：2018-10-05 11:25

【摘要】：目的探讨甲硝唑预防羊水污染会阴切口导致感染的效果,为临床工作提供参考价值。方法选取2012年1月-2013年6月医院收治的自然分娩并行会阴切开的产妇300例,按照随机数字表法分为研究组和对照组,每组150例,对照组采用直接缝合的方法,研究组常规缝合前予甲硝唑注射液冲洗切口、尿道口、阴道口、阴道壁以及会阴部,比较两组产妇产后切口感染的发生率以及体温的变化。结果研究组产妇术后切口感染1例感染率为0.67%,对照组产妇感染7例感染率为4.67%,两组比较,差异有统计学意义(P0.05);研究组产妇术后体温≥38℃患者占4.67%,显著低于对照组的12.67%,两组比较,差异有统计学意义(P0.05)。结论甲硝唑具有广谱抗厌氧菌的作用,在缝合前采用甲硝唑注射液冲洗会阴切口能降低会阴切口感染的概率,有效预防羊水污染会阴切口,值得在临床推广应用。
[Abstract]:Objective to investigate the effect of metronidazole in preventing infection caused by perineal incision caused by amniotic fluid contamination, and to provide reference value for clinical work. Methods from January 2012 to June 2013, 300 cases of parturient with natural delivery and perineal incision were divided into study group and control group with 150 cases in each group. Direct suture was used in the control group. The study group was treated with metronidazole injection to wash incision, urethral orifice, vaginal wall and perineum before routine suture. The incidence of postpartum incision infection and the change of body temperature were compared between the two groups. Results the infection rate of incision infection was 0.67 in the study group and 4.67 in the control group. The difference was statistically significant (P0.05); the postoperative body temperature 鈮，

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