【摘要】：目的探討甲硝唑預防羊水污染會陰切口導致感染的效果,為臨床工作提供參考價值。方法選取2012年1月-2013年6月醫(yī)院收治的自然分娩并行會陰切開的產(chǎn)婦300例,按照隨機數(shù)字表法分為研究組和對照組,每組150例,對照組采用直接縫合的方法,研究組常規(guī)縫合前予甲硝唑注射液沖洗切口、尿道口、陰道口、陰道壁以及會陰部,比較兩組產(chǎn)婦產(chǎn)后切口感染的發(fā)生率以及體溫的變化。結果研究組產(chǎn)婦術后切口感染1例感染率為0.67%,對照組產(chǎn)婦感染7例感染率為4.67%,兩組比較,差異有統(tǒng)計學意義(P0.05);研究組產(chǎn)婦術后體溫≥38℃患者占4.67%,顯著低于對照組的12.67%,兩組比較,差異有統(tǒng)計學意義(P0.05)。結論甲硝唑具有廣譜抗厭氧菌的作用,在縫合前采用甲硝唑注射液沖洗會陰切口能降低會陰切口感染的概率,有效預防羊水污染會陰切口,值得在臨床推廣應用。
[Abstract]:Objective to investigate the effect of metronidazole in preventing infection caused by perineal incision caused by amniotic fluid contamination, and to provide reference value for clinical work. Methods from January 2012 to June 2013, 300 cases of parturient with natural delivery and perineal incision were divided into study group and control group with 150 cases in each group. Direct suture was used in the control group. The study group was treated with metronidazole injection to wash incision, urethral orifice, vaginal wall and perineum before routine suture. The incidence of postpartum incision infection and the change of body temperature were compared between the two groups. Results the infection rate of incision infection was 0.67 in the study group and 4.67 in the control group. The difference was statistically significant (P0.05); the postoperative body temperature 鈮，

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