两种消毒方法预防阴式手术切口感染的临床观察  

Prevention of Incision Infection in Transvaginal Surgery: Comparison Between Two Disinfectants

作　　者：舒军萍[1] 张蓓[1] 牛娜[1] 孙海丽[1] 

机构地区：[1]解放军总医院,北京100853

出　　处：《中华医院感染学杂志》2004年第3期295-296,共2页Chinese Journal of Nosocomiology

摘　　要：目的　为预防阴式手术切口感染比较两种消毒液在外阴消毒的效果。方法　对 10 8例实施阴式手术的患者按住院时间顺序分为硫柳汞组和苯扎溴铵组 ,分别在手术 72 h取出阴道纱布后进行外阴消毒 ,分析比较预防感染的药物疗效及副作用。结果　两组药物在预防患者术后发生感染方面差异无显著性 (P >0 .0 5 ) ,在出现皮肤过敏方面差异有显著性 (P<0 .0 5 )。结论　对有效地预防阴式手术切口感染两组药物差异不明显 ,但在避免发生皮肤过敏方面苯扎溴铵优于硫柳汞。OBJECTIVE To compare the effectiveness of two disinfectants for preventing incision infection in transvaginal surgery. METHODS A total of 108 cases which treated by transvaginal surgery were grouped and disinfected with benzalkonium bromide (Neo-Geramine) and thiomersal (Merthiolate) respectively, while gauze patches in vagina were taken out after operation 72 hours. The effectiveness of disinfection was compared. RESULTS No significant difference was found between two disinfectants in preventing post-operation infection (P>0.05) but there was significant difference between them in skin allergy (P<0.05). CONCLUSIONS Although there is no difference in preventing post-operation infection between two disinfectants, benzalkonium bromide is better than thiomersal in avoiding skin allergy.

关 键 词：硫柳汞 苯扎溴铵 阴式手术 

分 类 号：R619.3[医药卫生—外科学]