妇科术前阴道准备方法的改进与研究  

Research in modification of preoperative vaginal preparations for gynecologic surgery

作　　者：王晓慧[1] 孙亦珍[1] 李萍萍[1] 

机构地区：[1]浙江省温州市第二人民医院妇瘤科,325000

出　　处：《中国实用护理杂志》2010年第3期37-38,共2页Chinese Journal of Practical Nursing

摘　　要：目的比较聚维酮碘乳膏塞阴＋阴道擦洗法与传统妇科术前阴道准备方法的临床效果，探讨更加安全、有效、方便、快捷的阴道准备方法。方法选择2009年1-9月妇科已婚择期手术术前需行阴道准备患者100例，按执行阴道准备时间先后随机分为观察组和对照组各50例。观察组术前2d晚上睡觉前在护士的指导下，将聚维酮碘乳膏1支注入阴道深处宫颈区，1次／d，手术前30min用聚维酮碘棉球阴道擦洗1次。对照组术前2d采用聚维酮碘棉球阴道擦洗，2次／d，手术前30min阴道擦洗1次。分别在阴道准备前、后取2组宫颈拭子送细菌培养，比较细菌培养阳性率。结果2组阴道准备前后细菌培养阳性率自身比较有显著差异，但组间同时段细菌培养阳性率比较无显著差异。结论聚维酮碘乳膏塞阴＋阴道擦洗可减轻护士的工作量，而且在增进患者舒适度上存在优越性。Objective To compare the clinical effect of povidone-iodine cream plus vagina scrubbing with traditional preoperative vaginal preparation method in order to seek a more safe, effective, convenient and efficient method to prepare the vagina. Methods 100 cases of married patients undergoing elective gynecological surgery were divided into the observation group and the control group with 50 patients in each. The observation group adopted povidone-iodine cream plus vagina scrubbing and the control group used traditional method. Two groups were prepared in the vagina before and after taking cervical swabs for bacterial culture to compare the positive rate of bacterial culture. Results Intra-group comparison of vaginal bacterial culture before and after vaginal preparation was significantly different, but no statistical significance was seen between the two groups. Conclusions Vagina preparation with povidoneiodine cream plus vagina scrubbing can not only reduce the workload of nurses but also improve patient comfort degree.

关 键 词：妇科 阴道准备 聚维酮碘 阴道擦洗 

分 类 号：R473.71[医药卫生—护理学]