细菌性阴道病检测治疗对降低全子宫切除术后阴道残端感染的护理研究

The nursing study that the bacterial vagina disease detecting is treated to reduce the infection rate of vagina remaining end in postoperative total hysterectomy patients.

目的研究本地无症状细菌性阴道病(BV)患者的发病率,通过术前短期用药治疗,降低子宫全切手术后阴道残端感染的发生率。方法选择2005年3月至2006年10月因良性病变欲行全子宫切除术282例住院患者,随机分为观察组148例和对照组134例。两组患者术前进行BV检测,BV阳性率为26.35%。观察组中BV阳性病例在常规处理同时给予复方甲硝唑泡腾片塞阴治疗3d后手术,对照组中BV阳性病例仅给于常规处理。术后对两组发病率及阴道残端愈合情况进行对比研究分析。结果显示本地人群中BV有较高的发病率;术后病率差异不明显;术前短期干预治疗可有效降低子宫全切术后阴道残端感染发病率,两组比较观察组为1.35%,对照组为6.72%,统计学处理P<0.05,差异有统计学意义。结论术前短期用药治疗可有效降低术后阴道残端感染率。

Objective To study the morbidity of no symptom bacterial vagina disease（BV） in Zaozhuang of Shandong.Short-term use medicine to treat the bacterial vagina before the total hysterectomy can effectively reduce the infection of vagina remaining end.Methods 282 cases were chosen the total hysterectomy patients in hospital because of benign lesion from March in 2005 to October in 2006.They were randomly divided into 148 examples as observing group and 134 examples as contral group.Two groups carry out bacterial vagina disease（BV） detecting before operation,patient BV leads to be 26.35%.The BV cases in observing group is handled in medicine made of two or more ingredients Flagyl bubble for 3 days to squeeze in vagina;The BV cases in contral group give routine methods treatment.Results The BV morbidity and the healing conditionin of vagina remaining end at postoperative total hysterectomy contrast study and analysisin in two group.In the crowd who finally demonstrates this locality BV has higher morbidity;difference is not obvious at postoperative.The short-term interfere with the remaining end curing can reduce the infaction rate of vagina remaining end at postoperative total hysterectomy,the study group was 1.35%,the contral group was 6.72%.The differences in twe groups have statistics significance（P0.05）.Conclusion The short-term use medicine to treat the bacterial vagina disease before operation can effectively reduce the infection rate of vagina remaining end in the postoperative total hysterectomy patients.