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目的比较活性银离子抗菌凝胶和氧氟沙星泡腾片进行妇科术前阴道准备的临床效果。方法选择2014年1月~12月我科已婚择期手术术前需行阴道准备的患者100例,按执行阴道准备时间先后分为观察组和对照组,各50例。观察组术前3d和手术前30min阴道准备由护士操作,用灭菌注射用水进行阴道擦洗,再将活性银离子抗菌凝胶特定给药器,定位给药,直接将凝胶推至宫颈口,再取出给药器,1次/d。对照组同法采用0.1%PVP消毒液(聚维酮碘)阴道擦洗,窥阴器固定原位,用卵园钳将氧氟沙星泡腾片置于阴道后穹窿处,取出窥阴器,1次/d。两组用药2h后可离床活动。观察两组阴道准备前后细菌培养及阴道清洁度,并进行比较。结果观察组阴道准备后细菌培养阴性率、阴道清洁度明显优于对照组(P<0.05)。结论使用活性银离子抗菌凝胶代替传统消毒剂进行妇科术前阴道准备,不仅能达到相同的消毒效果,而且不影响阴道微生态的平衡。
Objective To compare the clinical efficacy of active silver ion antibacterial gel and ofloxacin effervescent tablet for preoperative gynecological vaginal preparation. Methods From January 2014 to December 2014, 100 patients underwent vaginal preparation before surgery were divided into observation group and control group, with 50 cases in each group. The observation group was operated on by the nurse for 3 days before operation and 30 minutes before the operation. Vaginal scrubbing was performed with sterile water for injection. The active silver ion-specific antimicrobial gel was given to a specific drug delivery device. The gel was directly pushed to the cervix, Remove the dosing device again, once / d. The control group with the same method using 0.1% PVP disinfectant (povidone-iodine) vaginal scrub, vaginal fixative in situ, with oval garden forceps of ofloxacin effervescent tablets placed in the vaginal fornix, remove the vagina, 1 time / d. Two groups of drugs can be separated from the bed after 2h activities. Bacterial culture and vaginal cleanliness before and after vaginal preparation were observed and compared. Results After the vaginal preparation, the negative rates of bacterial culture and vaginal cleanliness in the observation group were significantly better than those in the control group (P <0.05). Conclusion The use of active silver ion antibacterial gel instead of traditional disinfectant for gynecological vaginal preparation can not only achieve the same disinfection effect, but also does not affect the vaginal microecology balance.