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目的:探讨胎膜早破行剖宫产时0.1%碘伏冲洗宫腔对预防感染的作用。方法:选胎膜早破行子宫下段剖宫产的产妇165例作为研究对象,随机分为两组,实验组85例,对照组80例,实验组在胎儿胎盘胎膜娩出后用0.1%碘伏冲洗宫腔,对照组不做任何处理,比较两组术后产褥感染率、抗生素使用的时间、子宫内膜炎及腹壁切口感染的发生率。结果:胎膜早破实验组产褥感染2例(2.35%),对照组8例(10.00%),差异有统计学意义(P<0.05)。抗生素使用延长至48小时以上实验组3例(3.52%),对照组9例(15.00%),差异有统计学意义(P<0.05)。子宫内膜炎实验组0例,对照组2例(2.5%),差异有统计学意义(P<0.05)。腹部切口感染:实验组0例,对照组3例(3.75%),差异有统计学意义(P<0.05)。结论:胎膜早破剖宫产时0.1%碘伏冲洗宫腔可以降低术后产褥感染率、抗生素使用的时间、子宫内膜炎及腹部切口感染的发生率。
Objective: To investigate the effect of 0.1% iodophor on uterine cavity during premature rupture of membranes to prevent infection during caesarean section. Methods: 165 cases of maternal premature rupture of the uterus underwent cesarean section were randomly divided into two groups: experimental group (85 cases) and control group (80 cases). In the experimental group, 0.1% iodine The uterine cavity was rinsed with volt and the control group was treated without any treatment. The incidences of puerperal infection, antibiotic use, endometritis and incision infection were compared between the two groups. Results: There were 2 cases (2.35%) of puerperal infection in experimental group and 8 cases (10.00%) in control group, the difference was statistically significant (P <0.05). The use of antibiotics extended to more than 48 hours in the experimental group, 3 cases (3.52%), 9 cases (15.00%), the difference was statistically significant (P <0.05). Endometritis experimental group 0 cases, control group 2 cases (2.5%), the difference was statistically significant (P <0.05). Abdominal incision infection: experimental group 0 cases, control group 3 cases (3.75%), the difference was statistically significant (P <0.05). Conclusion: Premature rupture of membranes during cesarean section with 0.1% iodophor to wash the uterine cavity can reduce postoperative puerperal infection rate, antibiotic use time, endometritis and abdominal incision infection incidence.