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腹腔镜术中两种不同浓度的碘伏消毒液冲洗外阴致术中压疮的探讨

Investigation on Two Different Concentrations of Iodophor Disinfectant for Irrigation of Vulva on Intraoperative Pressure Sores During Laparoscopic Surgery
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摘要 目的探讨腹腔镜下输卵管切除术中两种不同浓度的碘伏消毒液冲洗外阴对术中骶尾部压疮的影响以及护理对策。方法200例行腹腔镜输卵管切除术的患者分为对照组和实验组,前者采用0.5%PVP-1碘伏消毒液冲洗外阴,后者采用0.1%PVP-1碘伏消毒液冲洗外阴,比较两组术中骶尾部压疮的发生情况。结果实验组患者术中骶尾部Ⅰ度压疮发生率为6.00%,低于对照组的15.00%,差异有统计学意义(P<0.05)。结论妇科腹腔镜术中采用低浓度的碘伏消毒液冲洗外阴,能降低对患者骶尾部皮肤的刺激,减少术中骶尾部压疮的发生。 Objective To investigate the nursing countermeasures and effects of two different concentrations of iodophor disinfectant for irrigation of vulva on intraoperative sacrococcygeal pressure sores during laparoscopic salpingectomy.Methods 200 cases of patients with laparoscopic salpingectomy were divided into control group and experimental group.The former used iodophor disinfectant 0.5%PVP-1 for irrigation of vulva,and the latter used iodophor disinfectant 0.1%PVP-1 for irrigation of vulva.The incidence of intraoperative sacrococcygeal pressure sores during surgery was compared between two groups.Results The incidence of degreeⅠsacrococcygeal pressure sores during surgery in the experimental group was 6.00%,lower than 15.00%in the control group,with statistically significant difference(P<0.05).Conclusions Low concentration of iodophor disinfectant for irrigation of vulva in gynecologic laparoscopic surgery can reduce the stimulation to skin of sacrococcygeal region,and reduce the incidence of intraoperative sacrococcygeal pressure sores.
作者 陈雪艳 凌笑琼 吴秀红 李理花 CHEN Xueyan;LING Xiaoqiong;WU Xiuhong;LI Lihua(Operation Room,Heyuan Maternal and Child Healthcare Hospital,Heyuan 517000,China)
出处 《临床医学工程》 2019年第10期1429-1430,共2页 Clinical Medicine & Engineering
关键词 腹腔镜手术 碘伏消毒液 外阴冲洗 骶尾部压疮 Laparoscopic surgery Iodophor disinfectant Irrigation of vulva Sacrococcygeal pressure sores
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