甲硝唑注射液冲洗对降低剖宫产术后切口感染和产褥感染发生率的影响  

Effect of metronidazole injection flushing on reducing the incidence of incision infection and puerperal infection after cesarean section

作　　者：高坤 Gao Kun(Department of Obstetrics and Gynecology,People's Hospital of Xinbin Manchu Autonomous County,Fushun City,Liaoning Province,Fushun,Liaoning,113200,China)

机构地区：[1]辽宁省抚顺市新宾满族自治人民医院妇产科,辽宁抚顺113200

出　　处：《当代医学》2020年第34期33-35,共3页Contemporary Medicine

摘　　要：目的探讨甲硝唑注射液冲洗对降低剖宫产术后切口感染以及产褥感染发生率的影响。方法选择2015年4月至2019年6月本院收治70例拟行剖宫产术的产妇作为研究对象,按随机数字表法分为对照组和观察组,各35例。对照组给予0.9%氯化钠溶液冲洗治疗,观察组给予甲硝唑注射液冲洗治疗。比较两组产妇切口感染、产褥感染发生率及生活质量。结果观察组产妇感染总发生率低于对照组,差异有统计学意义(P<0.05);观察组产妇生活质量评分[生理职能(84.24±3.28)分、生理功能(85.12±2.78)分、社会功能(86.38±4.56)分、精神健康(85.92±2.11)分、情感职能(86.42±1.87)分、疼痛(86.62±2.34)分、活力(83.93±3.47)分、总体健康(87.43±2.69)分]高于对照组[生理职能(72.21±1.79)分、生理功能(75.81±1.03)分、社会功能(75.12±3.64)分、精神健康(71.22±2.32)分、情感职能(74.13±1.69)分、疼痛(73.22±1.63)分、活力(75.29±1.98)分、总体健康(76.05±1.78)分],差异有统计学意义(P<0.05)。结论剖宫产术后经甲硝唑注射液冲洗,可有效降低术后切口感染率及产褥感染发生率,提高生活质量,具有较好的临床应用效果。Objective To investigate the effect of metronidazole injection flushing on reducing the incidence of incision infection and puerperal infection after cesarean section.Methods From April 2015 to June 2019,70 parturients undergoing cesarean section were randomly divided into control group and observation group,with 35 cases in each group.The control group was treated with saline irrigation,and the observation group was treated with metronidazole injection.The incidence of incision infection,puerperal infection and quality of life were compared between the two groups.Results The total incidence of infection in the observation group was lower than that in the control group(P<0.05).The scores of quality of life of parturients in the observation group[physiological function(84.24±3.28),physiological function(85.12±2.78),social function(86.38±4.56),mental health(85.92±2.11),emotional function(86.42±1.87),pain(86.62±2.34),vitality(83.93±3.47),overall health(87.43±2.69)]were higher than those in the control group[physiological function(72.21±1.79),physiological function(75.81±1.03),social function(75.12±3.64),mental health(71.22±2.32),emotional function(74.13±1.69),pain(73.22±1.63),vitality(75.29±1.98)and overall health(76.05±1.78)],the difference was statistically significant(P<0.05).Conclusion The postoperative incision infection rate and the incidence of puerperal infection can be effectively reduced after cesarean section,and the quality of life can be improved.

关 键 词：剖宫产 甲硝唑注射液 切口感染 产褥感染 生活质量 

分 类 号：R719.8[医药卫生—妇产科学]