甲硝唑联合红外线预防会阴切口感染的效果观察

Clinical effect of metronidazole rinse combined with infrared rays on prevention of perineal incision infections

目的探讨甲硝唑冲洗联合红外线照射预防会阴切口感染的临床效果,为临床预防会阴切口感染提供依据。方法选取于2012年6月-2013年6月医院接受会阴侧切术式的产妇220例作为研究的样本,随机将其分为对照组和观察组,每组各110例;对照组常规应用聚维酮碘消毒,观察组采用甲硝唑冲洗联合红外线照射;两组进行不同处理后,比较两组产妇产后24、48h和96h切口疼痛程度和愈合率。结果观察组产妇的切口疼痛程度明显优于对照组,其中观察组轻度和中度疼痛分别占69.09%和30.00%,对照组轻度和中度疼痛分别占46.36%和45.46%;观察组患者发生切口感染6例,感染率为5.45%,对照组发生切口感染16例,感染率为14.55%,两者之间差异有统计学意义(P<0.05);观察组切口甲级愈合率为94.55%,明显优于对照组的85.45%,两组差异具有统计学意义(P<0.05)。结论甲硝唑冲洗联合红外线照射预防会阴切口感染效果明显优于传统的聚维酮碘消毒,可以减轻产妇疼痛,促进切口的愈合,值得临床推广使用。

OBJECTIVE To explore the clinical effect of metronidazole rinse combined with infrared rays on preven-tion of perineal incision infections so as to provide guidance for prevention of perineal incision infections . METHODS Totally 220 pregnant women who underwent the episiotomy in the hospital from Jun 2012 to Jun 2013 were chosen as the study objects and randomly divided into the control group and the observation group ,with 110 cases in each ;the control group was treated with conventional providence-iodine for disinfection ,and the observa-tion group was given the metronidazole rinse combined with infrared irradiation ;the postpartum incision pain de-gree and healing rates at 24 ,48 ,and 96 hours were observed and compared between the two groups .RESULTS The incision pain degree of the observation group was significantly better than that of the control group ;the preg-nant women with mild incision pain accounted for 69 .09% in the observation group ,46 .36% in the control group ;the pregnant women with moderate incision pain accounted for 30 .00% in the observation group ,45 .46% in the control group .The incision infections occurred in 6 cases in the observation group ,with the infection rate of 5 .45% ,16 cases in the control group ,with the infection rate of 14 .55% ,and there was statistically significant difference between the two groups （P〈 0 .05） .The grade A incision healing rate of the observation group was 94 .55% ,significantly higher than 85 .45% of the control group , with statistical significance （ P〈 0 .05 ） . CONCLUSION The clinical effect of metronidazole rinse combined with infrared irradiation is significantly better than that of the conventional disinfection with providence-iodine on prevention of the perineal incision infections ,it can relieve the pain of the pregnant women and promote the incision healing ,and it is worthy to be promoted in the hospital .