聚维酮碘冲洗会阴预防产妇感染的临床应用研究  

Study on clinical application of providence-iodine for perineal irrigation to prevent infections in puerpera

作　　者：陈志芳[1] 缪剑霞[1] 孙晓琴[1] 

机构地区：[1]南通市妇幼保健院产科,江苏南通226018

出　　处：《中华医院感染学杂志》2015年第13期3107-3108,3120,共3页Chinese Journal of Nosocomiology

基　　金：江苏省卫生厅妇幼保健基金资助项目(S20124113)

摘　　要：目的探究聚维酮碘冲洗会阴法对预防产妇产后感染的临床意义,以帮助产妇早日康复。方法调查2012年1月-2013年1月产科218例会阴侧切和会阴裂伤产妇,将其随机分为观察组120例和对照组98例,所有产妇产后会阴侧切口行常规性缝合,对照组采用1%苯扎溴铵擦洗会阴,观察组产妇产后即用0.03%聚维酮碘冲洗会阴,缝合会阴切口,之后用0.5%聚维酮碘液浸泡棉球擦洗会阴;对比分析两组产妇会阴侧切口或裂伤口感染、愈合、疼痛等。结果观察组120例产妇中乙级愈合3例愈合率为2.50%、甲级愈合117例愈合率为97.50%、未出现丙级愈合;对照组98例产妇中乙级愈合8例愈合率为8.16%、甲级愈合88例愈合率为89.80%、丙级愈合2例愈合率为2.04%;观察组患者出现会阴部位明显疼痛5例、轻度疼痛24例,对照组分别为20、20例,两组比较差异有统计学意义(P<0.05)。结论聚维酮碘冲洗产妇会阴有效预防产妇产后感染并提高甲级愈合率,发挥很好的临床应用价值。OBJECTIVE To explore the clinical significance of povidone‐iodine irrigation for the prevention of post‐partum infections in puerpera ,so as to promote speedy recovery of puerpera .METHODS Totally 218 cases of mothers undergoing obstetric episiotomy and perineal laceration during Jan .2012 to Jan .2013 were randomly di‐vided into two groups ,the observation group of 120 cases and the control group of 98 cases .Routine suture of lat‐eral perineal incision was performed for all puerpera .The control group received 1% benzalkonium bromide for perineal scrubbing .The observation group received 0 .03% povidone‐iodine irrigation immediately after delivery , followed by incision suture and perineal scrubbing with cotton balls soaked in 0 .5% povidone‐iodine solution .The situations of infection ,healing ,and pain of the lateral incision or the laceration incision were analyzed and com‐pared between the two groups .RESULTS There were 3 cases of grade II healing （the healing rate 2 .50% ） ,117 ca‐ses of grade I healing （97 .50% ） ,and 0 case of grade III healing in the observation group of 120 puerpera .There were 8 cases of grade II healing （the healing rate 8 .16% ） ,88 cases of grade I healing （89 .80% ） ,and 2 case of grade III healing （2 .04% ） in the control group of 98 puerpera .Significant perineal pain occurred in 5 cases in the observation group and 20 cases in the control group ,mild pain in 24 cases in the observation and 20 cases in the control group ,with significant difference （P〈 0 .05） .CONCLUSION Povidone‐iodine irrigation of perineum for prevention of postpartum infection in puerpera effectively increased the grade I healing rate and exerted great clini‐cal value .

关 键 词：聚维酮碘 产后感染 冲洗会阴 

分 类 号：R181.32[医药卫生—流行病学]