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目的探讨头孢曲松配合碘伏擦拭对剖宫产产妇围手术期感染的预防作用。方法 200例剖宫产的产妇随机分为观察组和对照组,每组100例。对照组术后采用甲硝唑擦拭,观察组术中静脉滴注头孢曲松,采用碘伏擦拭,比较两组产妇术后伤口愈合情况、感染情况。结果观察组术后3 d的C反应蛋白(CRP)高于对照组,术后伤口愈合情况好于对照组,发病率低于对照组,发热持续时间≥3 d的比例高于对照组,感染率低于对照组,住院时间短于对照组,差异均有统计学意义(P<0.05)。观察组的满意度高于对照组,差异有统计学意义(P<0.05)。结论头孢曲松配合碘伏擦拭能够有效预防剖宫产围手术期感染,促进切口愈合,确保患者的住院安全。值得推广应用。
Objective To investigate the preventive effect of ceftriaxone and iodophor wiping on perioperative infection in cesarean section. Methods 200 cases of cesarean section of women were randomly divided into observation group and control group, 100 cases in each group. The patients in the control group were treated with metronidazole and the patients in the observation group received ceftriaxone intravenously. The patients were treated with iodophor and rubbed with iodophor. The wound healing and infection of the two groups were compared. Results The CRP in the observation group was higher than that in the control group 3 days after operation. The wound healing after operation was better than that in the control group, and the incidence was lower than that in the control group. The duration of fever ≥3 d was higher than that in the control group The rate of hospitalization was shorter than that of the control group, and the length of hospital stay was shorter than that of the control group (P <0.05). The satisfaction of the observation group was higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion Ceftriaxone with iodophor wipe can effectively prevent perioperative cesarean section infection, promote wound healing, to ensure the safety of patients in hospital. Worth promoting application.