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目的探讨预防会阴侧切口感染最佳处理方法。方法设实验组及对照组临床对照研究。实验组采用合成线、庆大霉素与碘伏联合应用,对照组用甲硝唑100 ml冲洗,常规皮内缝合线缝合,比较两组预防切口感染的情况、产后平均住院天数。结果实验组486例切口甲级愈合率100%,愈合时间24 h,产后住院天数1~2 d;对照组200例切口甲级愈合率86.02%,愈合时间96 h,产后住院天数4~5 d。结论合成线、庆大霉素与碘伏联合应用缩短了住院天数、方法简单、安全、有效,甲级愈合率高,切口无疼痛,合成线还有耐受性强、吸收快、减轻组织水肿,线结少、价廉等优点。
Objective To investigate the best treatment of perineal incision infection. Methods The experimental group and control group were compared. In the experimental group, the combination of gentamicin and iodophor was used. In the control group, metronidazole 100 ml was used for washing and the conventional intradermal suture was used for suture closure. The average duration of postpartum hospitalization was compared between the two groups. Results The rate of grade A healing in 486 cases of incision in experiment group was 100%, the healing time was 24 hours and the length of stay in hospital was 1-2 days. The rate of grade A healing in 200 cases in control group was 86.02%, the healing time was 96 hours and the length of stay in hospital was 4-5 days . Conclusions The combination of synthetic thread, gentamicin and iodophor shortens the length of hospital stay. The method is simple, safe and effective. The grade A has a high healing rate, incision-free pain, and the synthetic thread is also well tolerated, absorbs quickly and reduces tissue edema , Less knot, cheap and so on.