过氧化氢联合碘伏阴道灌洗在宫颈癌根治术中的消毒效果观察  

Observation on the disinfection effect of vaginal lavage using hydrogen peroxide combined with iodophor in radical resection of cervical cancer

作　　者：陈珊珊[1] 谢清华[1] 陈星[1] 周薇[1] 梅双双 CHEN Shan-shan;XIE Qing-hua;CHEN Xing;ZHOU Wei;MEI Shuang-shuang(Taizhou Hospital of Zhejiang Province,Taizhou Zhejiang 317000,China)

机构地区：[1]浙江省台州医院,浙江台州317000

出　　处：《中国消毒学杂志》2023年第7期498-500,共3页Chinese Journal of Disinfection

基　　金：浙江省基础公益研究计划项目(LGF20H160022)。

摘　　要：目的观察双氧水(过氧化氢)联合碘伏阴道灌洗在宫颈癌根治术中的消毒效果,为预防术后感染提供依据。方法通过感染监测和细菌培养方法,对过氧化氢联合碘伏阴道灌洗在宫颈癌根治术中的消毒效果进行观察与分析。结果2组患者术前阴道分泌物pH值、清洁度及术后腹部切口感染率差异无统计学意义(P>0.05)。过氧化氢联合碘伏阴道灌洗组术前细菌培养的阳性率、阴道残端感染率和血液白细胞数等指标均明显优于单独碘伏阴道灌洗组对照组。结论宫颈癌根治术前选择过氧化氢联合碘伏阴道灌洗的消毒效果明显优于单独碘伏阴道灌洗。Objective To observe the disinfection effect of vaginal lavage using hydrogen peroxide combined with iodophor in radical resection of cervical cancer,and to provide evidence for preventing postoperative infection.Methods The disinfection effect of vaginal lavage using hydrogen peroxide combined with iodophor in radical resection of cervical cancer was observed and analyzed by infection monitoring and bacterial culture.Results There was no significant difference in the pH value of vaginal secretions,cleanliness,and infection rate of postoperative abdominal incision between the two groups of patients(P>0.05).The positive rate of preoperative bacterial culture,the infection rate of vaginal stump and the number of white blood cells in the group of vaginal lavage using hydrogen peroxide combined with iodophor were significantly better than those in the control group of vaginal lavage using iodophor alone.Conclusion The disinfection effect of vaginal lavage using hydrogen peroxide combined with iodophor before radical resection of cervical cancer is significantly better than that of vaginal lavage using iodophor alone.

关 键 词：宫颈癌根治术 过氧化氢 碘伏 阴道灌洗 消毒效果 

分 类 号：R187.2[医药卫生—流行病学]