经阴妇科手术两种阴道冲洗方法的临床对比研究

Study of two vaginal washing methods in gynecology vaginal operation

目的通过对两种阴道冲洗方法的研究，选择一种科学、经济、实用的方法用于经阴妇科手术。方法选择2006年1月至12月经阴子宫切除、经阴子宫肌瘤剔除和经阴卵巢肿瘤摘除术420例，随机分实验组与对照组，分别采用碘伏阴道冲洗法与传统阴道冲洗法进行术前阴道冲洗，对冲洗前后细菌阳性率、不同时间细菌杀灭率、两组术后发热情况、感染率、阴道残端伤口愈合情况、两种方法所消耗时间及经济花费进行对比。结果两种方法消毒前后细菌阳性率差异有显著性意义（P〈0．05），以消毒后3min开始手术达到最佳的消毒效果。两组术后发热情况差异无显著性意义，两组术后阴道残端伤口愈合情况差异有显著性意义（P〈0．01），两组术后感染率差异有显著性意义（P〈0．05），消耗时间及病人花费实验组较对照组有明显降低。结论碘伏阴道冲洗法与传统阴道冲洗法相比较，碘伏阴道冲洗法更科学、实用、经济，更具有临床可行性。

Objective Through the research of two vaginal washing methods in gynecology operation, choose one scientific, economical, practical disinfection method use in vaginal operation, and for will use this method to provide the theory support. Methods Randomly divided into experimental and control groups selected 420 eases vaginal hysterectomy, hysteromyomectomy in Janurary to December , 2006 . The patients were used for iodophor disinfectant vaginal washing and traditional washing, then measured the rate of bacteria before and after washing. And fever after operation, observed the postoperative infections. Observed the vaginal stump wound healing after 30 days compared the time consuming of two methods; the economic cost comparison of two methods. Results Bacterial disinfection was significant difference （P 〈 0. 05）. No difference in postoperative fever. The vaginal stump wound healing was significant difference （P 〈 0. 01 ）. The postoperative infections was significant difference （P 〈 0. 05）. Vaginal washing time and economic cost of the experimental group patients were significantly lower than the control group. Conclusion Compared iodophor disinfectant vaginal washing method with the traditional vaginal washing, Iodine vaginal washing was more scientific, practical, economic, and more clinical feasibility.