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目的:观察在产程中用肛门检查和阴道指检对母婴感染的影响。方法:对正常产妇400例临产后产妇随机分为阴道指检组(A组)和肛门检查组(B组),阴道指检组用5%聚维酮碘纱球按阴蒂、阴道前庭、小阴唇、大阴唇及会阴体消毒顺序涂擦后进行检查,肛查组用传统的肛查方法,每例均用单盲法在检查前后进行阴道分泌物细菌培养,在产前、产后分别查血常规及C-反应蛋白。结果:阴道指检监测产程进展不仅避免了肛门检查的弊端,而且不增加感染率。结论:产程中选择适当的消毒剂行外阴阴道消毒后,阴道指检替代肛门检查用于监测产程进展是安全可行的。
OBJECTIVE: To observe the effects of anus examination and vaginal examination on maternal-to-infant infections in labor. Methods: 400 maternal normal mothers after labor were randomly divided into vaginal examination group (A group) and anus examination group (B group), vaginal test group with 5% povidone iodine balls clitoris, vaginal vestibule, small Labia majora and the perineal body disinfection sequence rubbed after the inspection, the anal group using the traditional anal examination method, each case were used single-blind examination before and after the vaginal discharge bacterial culture, prenatal and postpartum were blood Conventional and C-reactive protein. Results: Vaginal finger test to monitor the progress of labor not only avoids the disadvantages of anal examination, but does not increase the infection rate. Conclusion: After selecting the appropriate disinfectant in the labor process for vulva vaginal disinfection, it is safe and feasible to use the vaginal fingering test instead of anal examination to monitor the progress of labor.