经阴道分娩产妇两种外阴消毒方法的效果对比分析

Comparative analysis of two vulva disinfection methods for vaginal delivery women

目的对比经阴道分娩产妇采用常规外阴消毒与改良生理盐水外阴消毒的临床效果。方法 68例经阴道分娩产妇,依据随机数字表法分为对照组和实验组,各34例。对照组采用常规外阴消毒,实验组则采用改良生理盐水外阴消毒,对两组消毒前后局部完成采样、细菌培养等工作,比较两组消毒前后局部细菌检出情况及焦虑自评量表(SAS)评分,以及消毒后舒适度、满意度评分。结果消毒前两组局部细菌检出率比较差异无统计学意义(P>0.05);消毒后实验组局部细菌检出率5.88%明显低于对照组的35.29%,差异有统计学意义(P<0.05)。消毒后实验组SAS评分为(31.35±4.62)分,明显低于对照组的(42.19±3.34)分,差异有统计学意义(P<0.05)。消毒后实验组舒适度、满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论对经阴道分娩产妇产后外阴消毒,由改良生理盐水消毒可获得较好效果,更利于缓解产妇焦虑情绪,提升舒适度与满意度,值得临床推广应用。

Objective To compare the clinical effect of conventional vaginal disinfection and improved normal saline vulva disinfection for vaginal delivery women. Methods A total of 68 vaginal delivery women were divided by random number table method into control group and experimental group, with 34 cases in each group. The control group received conventional vaginal disinfection, and the experimental group received improved normal saline for vulvar disinfection. The sampling and bacterial culture of the two groups were completed before and after disinfection. The local bacterial detection status and self-rating anxiety scale （SAS） before and after disinfection were compared between the two groups. The comfort and satisfaction scores after disinfection were compared between the two groups. Results Before disinfection, both groups had no statistically significant difference in local bacterial detection rate （P〉0.05）. After disinfection, the experimental group had obviously lower local bacterial detection rate as 5.88% than 35.29% in the control group, and the difference was statistically significant （P〈0.05）. After disinfection, the experimental group had obviously lower SAS score as （31.35±4.62） points than （42.19±3.34） points in the control group, and the difference was statistically significant （P〈0.05）. After disinfection, the experimental group had higher comfort and satisfaction score than the control group, and the difference was statistically significant （P〈0.05）. Conclusion The modified saline disinfecting regimen can achieve better results for vaginal delivery and postpartum vulvae disinfection. It is more conducive to restore maternal anxiety and improve comfort and satisfaction. Therefore it is worthy of clinical promotion and application.