胎心听诊时碘伏替代耦合剂对剖宫产术后手术部位感染影响的研究  

Study on effect of surgical-site infection (SSI) after cesarean delivery by the treatment of iodophor substitute for couplant on aus-cultation

作　　者：李尉兰[1] 

机构地区：[1]广东省佛山市南海区妇幼保健院手术室,528200

出　　处：《齐齐哈尔医学院学报》2017年第4期489-490,共2页Journal of Qiqihar Medical University

基　　金：佛山市卫生和计划生育局课题(2015347)

摘　　要：目的评估胎心听诊时碘伏替代耦合剂对剖宫产术后手术部位感染的影响。方法单中心前瞻性随机对照研究。从2014年5月至2016年5月,共有574例孕妇随机纳入研究组(n=287)和对照组(n=287)。剖宫产术前胎心听诊者,随机分为碘伏听诊组(研究组)和耦合剂听诊组(对照组),主要研究终点是剖宫产术后30天手术部位感染(SSI)的发生率。结果研究组的SSI发生率明显低于对照组(4.2%vs.7.3%,P=0.02)。研究组的皮肤切口感染率为3.1%,低于对照组的5.2%(P=0.04),而两组的深部组织感染率则无明显差异(1.0%vs.2.1%,P=0.07)。两组的皮肤副反应也无明显差异。结论胎心听诊时碘伏替代耦合剂可以减少剖宫产术后手术部位的感染率,安全有效。Objective To evaluate the effect of surgical-site infection（SSI） after cesarean delivery by the treatment of iodophor substitute for couplant on aus-cultation.Methods Adopted the single-center,randomized and controlled trial method,we evaluated whether the use of iodophor for aus-cultation was superior to the use of couplant for the prevention of SSI after cesarean delivery.From May 2014 to May 2016,a total of 574 cases were enrolled; 287 cases were assigned to research group and 287 cases in controlled group.We randomly assigned patients undergoing cesarean delivery to iodophor group（research group） or couplant group（controlled group）.The primary outcome was the occurrence of SSI within 30 days after cesarean delivery.Results SSI was lower in research group than that in controlled group（4.2% vs.7.3%,P = 0.02）.The rate of superficial SSI was3.2% in research group and 5.2% in controlled group（P = 0.04）; The rate of deep infection was 1.0% and2.1%,respectively（P = 0.07）.The frequency of adverse skin reactions was similar in the two groups.Conclusions The use of iodophor for aus-culatation resulted in a significantly lower risk of SSI after cesarean delivery than the use of couplant,which is safe and effective.

关 键 词：胎心听诊 碘伏 耦合剂 剖宫产 感染 

分 类 号：R619.3[医药卫生—外科学]