三种冲洗液用于产妇会阴冲洗效果的研究  

Comparison of three douches applied to post-partal women for perineal rinse

作　　者：徐波[1] 张成贵[2] 周青华[3] 

机构地区：[1]达州市中心医院外科,四川达州635000 [2]达州市中心医院分析室,四川达州635000 [3]达州市中心医院产科,四川达州635000

出　　处：《护理学杂志》2012年第8期27-28,共2页

摘　　要：目的探讨0.2%碘伏、肤疾洗剂、温开水三种洗液用于产妇会阴冲洗的效果。方法将150例有会阴伤口的产妇随机分为三组各50例。分别用0.2%碘伏、肤疾洗剂、温开水每日冲洗会阴2次,比较三组伤口甲级愈合率、皮肤采样的结果、患者疼痛程度。结果三组疼痛程度比较,差异有统计学意义(P<0.01);伤口甲级愈合、冲洗后即刻皮肤细菌及霉菌检出率无统计学差异(均P>0.05);冲洗后3h,伤口皮肤细菌检出率差异有统计学意义(P<0.01)。结论碘伏、肤疾洗剂或温开水均有较好的抑菌作用,温开水取材方便、患者舒适度高,可作为产妇会阴冲洗的首选。Objective To explore the effect of three kinds of douches, 0.2% iodophor, Fuji lotion, and warm water, applied to post- partal women for perineal rinse. Methods Totally, 150 post-partal women with perineal wounds were eommensurately and randomly divided into three groups, whose perineum was rinsed with 0.2% iodophor, Fuji lotion, or warm water respectively, twice daily. The rates of primary closure of wounds, skin cultures, and pain in the 3 groups were recorded. Results The pain perceived by 3 groups had significant differences （P^0.01）. The rates of primary closure of wounds, positive rates of skin culture harvested right after rinsing, and positive rates of fungal infection in the 3 groups had no significant differences （P〈0. 05 for all）. Positive rates of skin culture harvested 3 hours after rinsing in the 3 groups presented significant difference （P〈0. 01）. Conclusion Iodophor, Fuji lotion and warm water all have antimicrobial effect, with warm water easily available and comfortable to use, as a first choice.

关 键 词：产妇 会阴侧切 撕裂伤 会阴冲洗 碘伏 肤疾洗剂 温开水 

分 类 号：R473.71[医药卫生—护理学] R711.4[医药卫生—临床医学]