高危孕产妇急诊剖宫产术护理干预中碘伏宫腔擦拭预防术后切口感染效果分析  

Effect analysis of iodophor intrauterine swab in prevention of incision infection after emergency cesarean section in high risk pregnant women

作　　者：张芬 黄小荣 陈丽[3] 袁婷[3] 胡奕芳 ZHANG Fen;HUANG Xiao-rong;CHEN Li;YUAN Ting;HU Yi-fang(Department of Disinfection and Vector Control,Fuzhou Center for Disease Control and Prevention,Jiangxi Province,Fuzhou 344000,China;Guangchang Maternal and Child Health and Family Planning Service Center,Jiangxi Province,Guangchang 344900,China;Department of Obstetrics and Gynecology,Fuzhou First People′s Hospital,Jiangxi Province,Fuzhou 344000,China;Department of Obstetrics and Gynecology,Fuzhou Maternal and Child Health Hospital,Jiangxi Province,Fuzhou 334000,China)

机构地区：[1]江西省抚州市疾控中心消毒与虫媒防制科,江西抚州344000 [2]江西省广昌县妇幼保健计划生育服务中心,江西广昌344900 [3]江西省抚州市第一人民医院妇产科,江西抚州344000 [4]江西省抚州市妇幼保健院妇产科,江西抚州334000

出　　处：《中国当代医药》2021年第17期259-262,共4页China Modern Medicine

基　　金：江西省抚州市社会发展指导性科技计划项目(抚科计字[2019]12号第50项)。

摘　　要：目的探讨碘伏宫腔擦拭预防高危孕产妇急诊剖宫产术后切口感染的效果。方法回顾性分析2019年1月~2020年7月抚州市第一人民医院收治的70例高危孕产妇急诊剖宫产患者的临床资料,按照护理方式不同分为参照组(35例)和研究组(35例)。参照组接受常规护理,研究组在常规护理的基础上实施个性化护理干预及碘伏宫腔擦拭。比较两组干预前后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分和收缩压、舒张压、心率、白细胞计数、术后疼痛评分,并统计比较两组的切口感染发生率、宫腔逆行感染发生率、护理满意度。结果两组护理前的SAS、SDS、术后疼痛评分和收缩压、舒张压、心率、白细胞计数比较,差异无统计学意义(P>0.05);两组护理后的SAS、SDS及术后疼痛评分低于护理前,收缩压、舒张压和心率水平低于护理前,而白细胞计数高于护理前,差异均有统计学意义(P<0.05);研究组的SAS、SDS和术后疼痛评分低于参照组,收缩压、舒张压水平低于参照组,白细胞计数高于参照组,差异均有统计学意义(P<0.05)。研究组的切口感染发生率、宫腔逆行感染发生率分别为8.57%、2.86%,低于参照组的28.57%、17.14%,差异均有统计学意义(P<0.05)。研究组的护理总满意度为97.14%,高于参照组的82.86%,差异有统计学意义(P<0.05)。结论高危孕产妇急诊剖宫产护理干预应用碘伏宫腔擦拭效果确切,可有效减少患者术后切口、宫腔逆行感染发生,改善患者的负面情绪,降低其血压、心率、疼痛感,为产妇身体恢复奠定良好基础,护理满意度更高,值得推广应用。Objective To investigate the effect of iodophor intrauterine swab in preventing incision infection after emergency cesarean section in high-risk pregnant women.Methods The clinical data of 70 cases of high-risk pregnant women undergoing emergency cesarean section in Fuzhou First People′s Hospital,Jiangxi Province from January 2019 to July 2020 were retrospectively analyzed,and they were divided into the reference group(35 cases)and the study group(35 cases)according to different nursing methods.The reference group received routine nursing care,and the study group implemented personalized nursing intervention and iodophor uterine cavity wiping on the basis of routine nursing.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),systolic blood pressure,diastolic blood pressure,heart rate,white blood cell count and postoperative pain score of the two groups before and after intervention were compared.Results There were no significant differences in SAS,SDS,postoperative pain scores,systolic blood pressure,diastolic blood pressure,heart rate and white blood cell count between the two groups before nursing(P>0.05).The SAS,SDS and postoperative pain scores of the two groups were lower than those before nursing,and the levels of systolic blood pressure,diastolic blood pressure and heart rate were lower than those before nursing,while the white blood cell count was higher than that before nursing,the differences were statistically significant(P<0.05).The SAS,SDS and postoperative pain scores of the study group were lower than those of the reference group,the systolic blood pressure and diastolic blood pressure were lower than those of the reference group,and the white blood cell count was higher than that of the reference group,the differences were statistically significant(P<0.05).The incidence of incision infection and uterine cavity retrograde infection in the study group were 8.57%and 2.86%,respectively,which were lower than 28.57%and 17.14%of the reference group,the differences were statistically si

关 键 词：高危孕产妇 碘伏宫腔擦拭 切口感染急诊 剖宫产术 

分 类 号：R472[医药卫生—护理学]