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目的了解产程中常规采用阴道检查代替传统的肛门检查是否会增加母儿感染及并发症的发生。方法将研究对象随机分成对照组(肛门检查组)445例和实验组(阴道检查组)481例,分别采用传统的肛门检查和5%聚维酮碘溶液消毒后阴道检查来监测产程进展,采用单盲法观察母儿产后的体温,白细胞计数及分类,眼部、肺部、腹部体征,血液或者恶露培养结果等监测指标,记录在统一设计的表格上,按诊断标准确定母儿是否感染。结果两组母儿感染发生率比较差异无显著性意义(P>0.05);在妊娠合并细菌性阴道病的产妇中,对照组的产褥感染发生率明显高于实验组(P<0.05)。结论5%聚维酮碘溶液消毒后阴道检查代替传统的肛门检查用于监测产程,不增加母儿感染及并发症的发生,并可减少妊娠合并细菌性阴道病产妇产褥感染发生率,是产时服务中适宜的检查方法。
Objective To understand whether routine vaginal examination instead of traditional anus examination in labor can increase the incidence of maternal and child infections and complications. Methods The subjects were randomly divided into control group (anal examination group) 445 cases and experimental group (vaginal examination group) 481 cases, respectively, the traditional anus examination and 5% povidone-iodine solution disinfection vaginal examination to monitor labor progress, using Single-blind observation of postpartum mother and childbirth temperature, white blood cell count and classification, eye, lung, abdominal signs, blood or lochia culture results and other monitoring indicators recorded in a unified design of the table, according to diagnostic criteria to determine whether the mother and child infections. Results There was no significant difference in the incidence of maternal and child infection between the two groups (P> 0.05). In the pregnant women with bacterial vaginosis, the incidence of puerperal infection in the control group was significantly higher than that in the experimental group (P <0.05). Conclusion 5% povidone-iodine solution disinfection vaginal examination instead of the traditional anal examination for the monitoring of labor, does not increase the incidence of maternal and child infections and complications, and reduce the incidence of bacterial vaginosis during pregnancy with puerperal infection, Is the appropriate service during the production of inspection methods.