经阴道妇科手术两种阴道消毒方法的临床对比研究

目的]通过对两种阴道消毒方法的研究,选择一种科学、经济、实用的方法用于经阴妇科手术。方法]选择2006年1月—2006年12月经阴道子宫切除、子宫肌瘤剔除和卵巢肿瘤摘除术420例,随机分实验组与对照组,分别采用碘伏阴道消毒法与传统阴道消毒法进行术前阴道消毒,对消毒前后细菌阳性率、不同时间细菌杀灭率、两组术后发热情况、感染率、阴道残端伤口愈合情况、两种方法所用时间及经济花费进行对比。结果]两种方法消毒前后细菌阳性率差异有统计学意义(P<0.05),以消毒后3min开始手术达到最佳的消毒效果。两组术后发热情况差异无统计学意义,两组术后阴道残端伤口愈合情况差异有统计学意义(P<0.01),两组术后感染率差异有统计学意义(P<0.05),所用时间及病人花费实验组较对照组有明显降低。结论]碘伏阴道消毒法与传统阴道消毒法相比较,碘伏阴道消毒法更科学、实用、经济,更具有临床可行性。

Clinical comparative study on two different ways of vaginal irrigation for patients undergoing per vagina gynecological operation

Objective:To find a scientific, economic and practical vaginal irrigation method for patients undergoing per vagina gynecological operation by studying two different ways of vaginal irrigation. Methods: A total of 420 patients who had underwent per vagina hysterectomy, per vagina hysteromyoma extraction and per vagina tumor of the ovary extraction from January to December in 2006 were selected and divided into test and control group randomly. Vaginal irrigation with iodophors and traditional way of vaginal irrigation was respectively adopted for preoperative gynecological operation patients. Indexes including the positive rate of bacteria, sterilization rate of different time points, postoperative febrile state, infectious rate, wound healing state of vagina stub and time expense and financial cost of patients in both groups accepted two different ways of irrigation were compared with each other. Results: There was statistical significant difference in terms of bacteria positive rate of patients between before and after sterilization with both methods (P<0.05). At three minutes after sterilization the optimal sterilization effect was achieved. There was no statistical significant difference in terms of postoperative febrile state between both groups. There was statistical significant difference in terms of postoperative wound healing state of vagina stub between both groups patients (P<0.01). There was statistical significant difference in terms of postoperative infectious rate between both groups cases (P<0.05). Both time expense and financial cost of patients in test group were much lower than that in control group. Conclusion: Vaginal irrigation with iodophors is more scientific, practical and economic for patients undergoing per vagina gynecological operation. And it has more clinical feasibility than the traditional way of vaginal irrigation.