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目的观察过氧化氢与碘伏消毒液在子宫切除术术前准备中应用效果,建立更好的妇科手术前准备的方法。方法使用碘伏和过氧化氢作子宫切除术术前准备,观察两组术后感染控制效果。结果术前1 d,试验组50例病人先用浓度为30 g/L的过氧化氢溶液擦洗阴道壁和宫颈周围,再用有效碘5 000 mg/L的碘伏消毒液擦拭阴道壁和宫颈周围;对照组病人术前仅用碘伏进行处理。结果证明,对照组病人术后在发热、手术切口愈合不良和盆腔与残端感染等发生率均明显高于试验组。结论使用过氧化氢与碘伏联合作妇科手术术前处理方法对术后感染的预防效果优于单用碘伏处理的效果。
Objective To observe the effect of hydrogen peroxide and iodophor disinfectant in preoperative preparation of hysterectomy and to establish a better method of preoperative gynecological surgery. Methods Preoperative preparation of hysterectomy with iodophor and hydrogen peroxide was used to observe the effect of postoperative infection control. Results On the first day before operation, 50 patients in the experimental group scrubbed the vaginal wall and the cervix with a hydrogen peroxide solution of 30 g / L, and then disinfected the vaginal wall and the cervix with iodophor disinfectant containing 5 000 mg / L of effective iodine Around the control group patients preoperative iodophor alone treatment. The results show that the control group of patients after fever, surgical incision poor healing and pelvic and stump infection were significantly higher than the incidence of the experimental group. Conclusions The preoperative treatment with hydrogen peroxide combined with iodophor as gynecologic surgery is superior to the preventive effect of iodophor alone in the prevention of postoperative infection.