外阴冲洗器的制作与临床应用研究

目的 研制一种安全、舒适、有效的会阴冲洗器具,预防会阴部伤口感染,提高会阴伤口的愈合率.方法 采用医用高分子材料制造,金属导管2根、加压气囊、医用三通、网状喷头等设计制作成外阴冲洗器.选择2007年1-10月经阴道自然分娩且有会阴伤口和剖宫产术后留置导尿管的患者,随机分为观察组和对照组各120例,对照组采用传统的冲洗壶和镊子夹取棉球边冲洗边擦拭的方法.观察组采用冲洗液经外阴冲洗器进行冲洗,并配合海绵刷进行擦洗的方法.观察切口肿胀消退、会阴伤口愈合情况、留置尿管的患者有无尿道感染、患者的舒适度等方面有无差异性.结果 经统计处理,2组患者在切口肿胀消退、伤口愈合情况、尿道感染及患者的舒适度等方面差异有统计学意义,P<0.05或P<0.01.结论 采用自制的外阴冲洗器冲洗配合海绵刷进行擦洗的方法,能彻底清洁会阴部和皮肤皱褶处及阴道深处的细菌、炎性分泌物,预防感染的发生,不仅能加速伤口肿胀消退,有效地缓解疼痛,明显地降低会阴部的感染率,促进伤口愈合;而且制作简单,使用方便,还可辅助治疗各种阴道炎性反应,为会阴的护理提供了一种新的有效方法,值得临床推广使用.

Facture and clinical application study of perineal washer

Objective We aimed to develop a safe, comfortable and effective perineal washer, which prevent perineum wound from infection and improve the healing of perineal wound. Methods The perineal washer was made from high polymer medical material, including two metal catheters, pressing gasbag, medical yoke and dicty blow head. We divided women patients after vagina delivery with perineum wound or after caesarean section into the observation group and the control group randomly with 120 cases in each group from Janurary to October 2007. The control group was given perineal washing by routine washing pot and cotton ball with forceps. The observation group received perineal washing by perineal washer with cleaning fluid and was scrubbed by sponge brash. The elimination of wood swelling, the healing of perineum healing, the urinary infection for patients with indwelling urinary catheterization and patients comfort degree were observed in the two groups. Results Statistical difference existed between the two groups in such aspects, elimination of wound swelling wound healing urinary tract infection and patients comfort degree, P<0.05 or P<0.01. Conclusions Adoption of self designed perineal washer accompanied with sponge brush could completely delete bacteria and inflammatory secretion deep in the vagina and prevent the incidence of infection. It not only could hasten the elimination of wound swelling, alleviate the pain and wound healing, but also was easily developed and portable to use. It provided a new and effective method for perineal washing and is worth clinical application.