阴道试产中转剖宫产术前Ⅲ型安尔碘阴道灌洗预防产褥感染效果  

Effect of the vaginal lavage by AnerdianⅢof pregnant women before transfer to cesarean section from vaginal trial delivery for preventing their puerperal infection

作　　者：李万乐 吴清霞 付霞霏[2] LI Wanle;WU Qingxia;FU Xiafei(Shunde Hospital of Southern Medical University(The First People's Hospital of Shunde District),Foshan,Guangdong Province,528300;Zhujiang Hospital,Southern Medical University,Guangzhou)

机构地区：[1]南方医科大学顺德医院,佛山市顺德区第一人民医院,佛山528300 [2]南方医科大学珠江医院

出　　处：《中国计划生育学杂志》2024年第6期1279-1282,1289,共5页Chinese Journal of Family Planning

基　　金：佛山市卫生健康局医学科研项目(20240449)。

摘　　要：目的:分析阴道试产中转剖宫产术前Ⅲ型安尔碘阴道灌洗预防产褥感染效果。方法:回顾性分析2022年1月-2023年12月本院产科阴道试产失败中转剖宫产产妇400例临床资料,其中2022年1-12月术前作外阴备皮、冲洗的200例纳入对照组,2023年1-12月术前作外阴备皮、Ⅲ型安尔碘阴道灌洗、冲洗的200例产妇纳入观察组,对比两组术后体温、24h出血量、产褥感染率、切口感染率及白细胞计数(WBC)、C反应蛋白(CRP)和降钙素原(PCT)水平变化情况。结果:观察组术后24h(36.90±0.17℃)、48h(36.70±0.15℃)、72h体温(36.50±0.12℃)均低于对照组(37.00±0.21℃、36.80±0.16℃、36.60±0.13℃),术后24h出血量(287.3±21.5ml)少于对照组(296.2±23.7ml),产褥感染率(0.5%)低于对照组(3.5%)(均P<0.05),两组切口感染率(0.5%、1.0%)无差异(P>0.05)。观察组术后72h WBC(10.07±2.28×10^(9)/L)、CRP(2.23±0.39mg/L)、PCT(4.05±0.62ng/ml)水平均低于对照组[(12.77±3.59)×10^(9)/L、5.06±1.28mg/L、7.33±1.51ng/ml](均P<0.05)。结论:阴道试产中转剖宫产术前Ⅲ型安尔碘阴道灌洗可有效控制术后产妇体温和WBC、CRP、PCT水平,减少产褥感染发生。Objective:To analyze the effect of the vaginal lavage by AnerdianⅢof pregnant women before transfer to cesarean section from vaginal trial delivery for preventing their puerperal infection.Methods:The clinical data of 400pregnant women with the transfer to cesarean section from vaginal trial delivery between January 2022 and December2023 were analyzed retrospectively.200 women in the control group were given vulvar skin preparation and irrigation before cesarean section from January 2022 to December 2022,and 200 women in the observation group were given vulvar skin preparation and vaginal lavage and irrigation by AliodineⅢfrom January 2023 to December 2023.The postoperative body temperature,the 24h blood loss,the puerperal infection rate,the incision infection rate,the white blood cell count(WBC),and the changes of the C-reactive protein(CRP)and procalcitonin(PCT)levels of the women were compared between the two groups.Results:The body temperature values of the women in the observation group at postoperative 24 hours(36.90±0.17℃),48 hours(36.70±0.15℃)and 72 hours(36.50±0.12℃)were significantly lower than those(37.00±0.21℃,36.80±0.16℃and 36.60±0.13℃)of the women in the control group.The amount of bleeding(287.3±21.5ml)of the women in the observation group within 24 hours after operation was significantly less than that(296.2±23.7ml)of the women in the control group.The rate of puerperal infection(0.5%)of the women in the observation group was significantly lower than that(3.5%)of the women in the control group(all P<0.05).There was no significant difference in the incision infection rate(0.5%vs.1.0%)of the women between the two groups(P>0.05).The WBC(10.07±2.28×10^(9)/L)and the levels of CRP(2.23±0.39mg/L)and PCT(4.05±0.62ng/ml)of the women in the observation group at 72 hours after operation were significantly lower than those(12.77±3.59×10^(9)/L,5.06±1.28mg/L and 7.33±1.51ng/ml)of the women in the control group(all P<0.05).Conclusion:The vaginal lavage by AnerdianⅢfor the pregna

关 键 词：阴道试产 剖宫产术 Ⅲ型安尔碘 术前阴道灌洗 产褥感染 炎症指标 

分 类 号：R719.8[医药卫生—妇产科学]