目的探讨剖宫产手术前使用抗菌药物和聚维酮碘宫腔擦洗对于预防剖宫产术后感染影响,以降低产妇剖宫产感染率。方法对医院2012年12月-2013年12月进行剖宫产分娩的120例产妇进行研究,将其随机分为手术前单纯应用抗菌药物组60例(对照组)和手术前使用抗菌药物联合聚维酮碘宫腔擦洗组60例(观察组),两组患者在手术后均进行静脉滴注甲硝唑3d,观察所有产妇手术后各项体征指标,数据均采用SPSS11.0统计软件进行分析处理。结果观察组产妇剖宫产术后发热发生率、切口感染率分别为95.00%及3.33%,对照组分别为100.00%及28.33%,两组比较差异有统计学意义(P<0.05);两组产妇手术后血常规白细胞计数比较,差异有统计学意义(P<0.05)。结论手术前使用抗菌药物联合聚维酮碘宫腔擦洗对于预防产妇剖宫产术后感染率的降低,有一定临床价值,值得临床使用。 Objective To investigate the effect of antimicrobial agents and povidone-iodine uterine scrub before caesarean operation on the prevention of post-cesarean section infection in order to reduce the rate of cesarean section infection among women. Methods A total of 120 maternal women who underwent cesarean delivery from December 2012 to December 2013 in our hospital were randomly divided into two groups: control group (n = 60) and antimicrobial agents Vital ketone iodine uterine scrub group of 60 patients (observation group), two groups of patients were intravenous infusion of metronidazole 3d after surgery, all maternal signs and signs were observed, the data were analyzed using SPSS11.0 statistical software deal with. Results The incidences of post-cesarean section fever and incision infection in the observation group were 95.00% and 3.33%, respectively, while those in the control group were 100.00% and 28.33% respectively. There was significant difference between the two groups (P <0.05) Blood routine white blood cell count after maternal surgery, the difference was statistically significant (P <0.05). Conclusion The use of antibacterials combined with povidone-iodine intrauterine scrub before surgery for the prevention of maternal cesarean section reduce the infection rate, has some clinical value, it is worth clinical use.