国产液体加温仪加热碘伏皮肤消毒在急诊剖宫产中的应用效果  

Application Effect of Skin Disinfection with Iodophor Heated by Domestic Liquid Heating Instrument in Emergency Cesarean Section

作　　者：王茹 徐国强 王苗苗 WANG Ru;XU Guoqiang;WANG Miaomiao(Shuyang Maternal and Child Health Hospital,Shuyang 223699,China;不详)

机构地区：[1]沭阳县妇幼保健院,江苏沭阳223699

出　　处：《中外医学研究》2025年第1期148-151,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨国产液体加温仪加热碘伏皮肤消毒在急诊剖宫产中的应用效果。方法:选取2022年1月—2023年12月沭阳县妇幼保健院收治的148例急诊剖宫产手术产妇为研究对象。根据随机数表法将其分为室温组和加温组,各74例。室温组使用25.0 ℃室温的0.5%碘伏进行手术部位皮肤消毒。加温组使用国产加热仪加温的38.0 ℃ 0.5%碘伏进行手术部位皮肤消毒。比较两组消毒情况,消毒前1 min、消毒后10 min、消毒后30 min和手术结束时的体温情况,术中寒战,术中低体温和出血量情况。结果:室温组消毒合格例数74例,消毒合格率为100%;加温组消毒合格例数74例,消毒合格率为100%。消毒后10 min、30 min,手术结束时,加温组鼓膜温度均显著高于室温组,差异有统计学意义(P<0.05)。加温组术中寒战发生率显著低于室温组,差异有统计学意义(P<0.05)。加温组术中低体温发生率显著低于室温组,产后24 h出血量显著少于室温组,差异有统计学意义(P<0.05)。结论:对于急诊剖宫产产妇,使用国产液体加温仪加热碘伏至38.0 ℃后进行手术部位的皮肤消毒,不会对消毒效果造成不良影响,其不仅可以发挥较好的体温保护的作用,还能够显著降低寒战反应和术中低体温的发生率,有利于减少产后出血量。Objective:To explore the application effect of skin disinfection with iodophor heated by domestic liquid heating instrument in emergency cesarean section.Method:A total of 148 women undergoing emergency cesarean section treated in Shuyang Maternal and Child Health Hospital from January 2022 to December 2023 were selected as the study objects.According to the method of random number table,they were divided into room temperature group and heating group,with 74 cases in each group.In the room temperature group,0.5%iodophor at 25.0℃was used to disinfect the skin of the surgical site.In the heating group,the skin of the surgical site was disinfected with 0.5%iodophor at 38.0℃heated by domestic liquid heating instrument.The disinfection situation,temperature conditon 1 min before disinfection,10 min after disinfection,30 min after disinfection and at the end of the operation,intraoperative chills,intraoperative hypothermia and blood loss volume of the two groups were compared.Result:There were 74 disinfection qualified cases in room temperature group,and the disinfection qualified rate was 100%.There were 74 disinfection qualified cases in the heating group,and the disinfection qualified rate was 100%.At 10 min and 30 min after disinfection,the temperature of eardrum in the heating group was significantly higher than that in the room temperature group,and the difference was statistically significant(P<0.05).The incidence of intraoperative chills in the heating group was significantly lower than that in the room temperature group,and the difference was statistically significant(P<0.05).The incidence of intraoperative hypothermia in the heating group was significantly lower than that in the room temperature group,and the postpartum blood loss volume at 24 h was significantly lower than that in the room temperature group,and the difference was statistically significant(P<0.05).Conclusion:For women in emergency cesarean section,the use of domestic liquid thermometer to heat iodophor to 38.0℃for skin disinfection of t

关 键 词：急诊剖宫产 液体加温仪 碘伏 加温 皮肤消毒 效果 

分 类 号：R719.8[医药卫生—妇产科学]