碘伏冲洗在胎膜早破剖宫产时的临床应用

Clinical application of iodophor douche in cesarean section with premature rupture of membrane

目的探讨胎膜早破剖宫产时使用0.5%碘伏冲洗宫腔及腹部切口对术后宫腔感染及切口感染的防治作用。方法 168例胎膜早破剖宫产患者,随机分为对照组和实验组,每组84例。对照组剖宫产术中使用0.9%的生理盐水冲洗宫腔及切口;实验组剖宫产术中使用0.5%碘伏冲洗宫腔及腹部切口。观察两组术后发热时间、血常规及腹部切口感染情况。结果实验组产妇术后切口感染、盆腔感染发生率均显著低于对照组(x^2值分别为6.753、7.181,均P<0.05),且实验组术后白细胞、C反应蛋白、发热天数和住院天数均显著低于对照组(t值分别为5.075、14.521、12.813、4.484,均P<0.05)。结论胎膜早破行剖宫产时使用0.5%碘伏冲洗宫腔及腹部切口能有效地减少术后发热时间,降低切口感染率。

Objective To investigate the prevention and treatment of postoperative intrauterine infection and incision infection in cesarean section with premature rupture of membrane （PROM） by using 0.5% iodophor to rinse uterine cavity and abdominal incision.Methods Totally 168 cases of PROM were randomly divided into experimental group and control group with 84 cases in each group.The control group used 0.9%normal sodium to douche uterine cavity and incision in cesarean section, while the experimental group used 0.5% iodophor. Heating time, hemogram and abdominal incision infection were observed and compared between two groups.Results The experimental group had significantly lower incidence of postoperative incision infection and pelvic infection than the control group （χ2 value was 6.753 and 7.181, respectively, both P〈0.05）, and white blood cells,C-reactive protein, fever days and hospital stay after operation in the experimental group were significantly lower than those in the control group （t value was 5.075, 14.521, 12.813 and 4.484, respectively, all P〈0.05）.Conclusion Using 0.5% iodophor to rinse uterine cavity and abdominal incision in cesarean section with PROM can effectively reduce postoperative fever time and incision infection rate.