术中宫腔碘伏消毒预防瘢痕子宫患者行再次剖宫产术后医院感染的效果观察  

Observation on the effect of iodophor disinfection in uterine cavity during operation to prevent hospital infection after cesarean section in patients with scar uterus

作　　者：韩屹峰 戚亚兰 乔春红 王瑞敏 HANYi-feng;QI Ya-lan;QIAO Chun-hong;WANG Rui-min(Nanjing Gulou Hospital Group,Suqian Hospital,Suqian Hospital Affiliated to Xuzhou Medical University,Suqian Jiangsu 223800,China)

机构地区：[1]南京鼓楼医院集团宿迁医院、徐州医科大学附属宿迁医院,江苏宿迁223800

出　　处：《中国消毒学杂志》2023年第3期211-212,217,共3页Chinese Journal of Disinfection

摘　　要：目的探讨如何降低瘢痕子宫患者再次剖宫产的术后医院感染发生率。方法选择2017年1月—2021年11月于某医院行再次急诊剖宫产术的148例瘢痕子宫患者为研究对象,随机分为对照组和观察组,每组74例。在患者行急诊剖宫产术中,对照组实施常规的消毒和应用抗菌药物预防感染,观察组在此基础上,在术中使用浓度为5000 mg/L的碘伏消毒液消毒宫腔。观察和比较2组患者术后24 h的体温、白细胞(WBC)值、术后发热以及切口感染和愈合情况,评价碘伏宫腔处理对瘢痕子宫患者行再次剖宫产术时医院感染的防控效果。结果观察组患者的外周血WBC值、发热和切口感染发生率等指标均低于对照组。结论瘢痕子宫患者再次急诊剖宫产术中使用碘伏宫腔消毒,能够降低感染发生的概率,促进术后切口的愈合。Objective To explore how to decrease the he incidence of hospital infection in emergency cesarean section for pregnant women with scar uterus.Methods A total of 148 patients with scar uterus who underwent emergency cesarean section again in a hospital from January 2017 to November 2021 were selected as the subjects of investigation.They were randomly divided into control group and observation group,with 74 cases in each group.During the emergency cesarean section,the control group used routine disinfection and antibiotics to prevent infection.On this basis,the observation group used iodophor disinfectant with a concentration of 5000 mg/L to disinfect the uterine cavity during the operation.The body temperature 24 hours after surgery,white blood cell(WBC)value,postoperative fever,wound infection and healing of the two groups of patients were observed and compared.The effect of iodophor uterine cavity treatment on the prevention and control of hospital infection in patients with scar uterus undergoing cesarean section was evaluated.Results The WBC value of peripheral blood,the incidence of fever and wound infection in the observation group were lower than those in the control group.Conclusion Using iodophor to sterilize uterine cavity in emergency cesarean section for patients with scar uterus can reduce the probability of infection and promote the healing of incision after operation.

关 键 词：再次剖宫产手术 碘伏 宫腔消毒 防控感染 

分 类 号：R187.2[医药卫生—流行病学] R378[医药卫生—公共卫生与预防医学]