国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2011, Vol. 30 ›› Issue (6): 446-447.

• 论著 • 上一篇    下一篇

一次性阴道抑菌吸附器预防子宫全切术后阴道炎观察

刘凤勤   

  1. 430064 武汉科技大学附属天佑医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-11-15 发布日期:2011-11-15
  • 通讯作者: 刘凤勤

The Observation of the Clinical Effect for One-time Vaginal Antibacterial Adsorption Device Used After Uterine All Cut Method for Prevention the Vaginitis

LIU Feng-qin   

  1. Department of Obstetrics and Gynecology， Tianyou Hospital, Wuhan University of Science & Technology, Wuhan 430064， China
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-11-15 Online:2011-11-15
  • Contact: LIU Feng-qin

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摘要： 目的：探讨一次性阴道抑菌吸附器（唯阴康）在全子宫切术后预防阴道炎的作用。方法：抽取因良性子宫疾病行全子宫切除术患者128例，随机分为观察组和对照组，每组64例。观察组术后阴道放置唯阴康，1支/d，8 h取出，连续8 d；对照组无阴道用药。结果：子宫切除术后3个月观察组阴道炎患病率为21.8%（14/64），对照组为46.8%（30/64），2组外阴阴道假丝酵母菌性阴道炎患病率分别为4.6%和17.1%，2组比较差异均有统计学意义（P＜0.01）；2组阴道残端息肉形成率分别为7.8%和10.9%，差异无统计学意义（P＞0.05）。结论：唯阴康用于全子宫切除术后可改善阴道环境，有效预防阴道炎发生，安全无不良反应。

关键词: 子宫切除术, 子宫切除术, 阴道式, 阴道炎, 念珠菌病, 外阴阴道, 抗生素预防

Abstract: Objective: To assess the use of one?鄄time vaginal antibacterial adsorption device used after uterine all cut method for prevention the vaginitis. Method: 128 patients, accepting hysterectomy due to their benign gynecologic disease, were divided into 2 groups randomly. Each group of 64 was named the observation group and the other was the control group. Instead of the control group without any treatment, One-time vaginal antibacterial adsorption devices were experienced in the members of the observation group after they accepted the operations, 1 a/d， ｔａｋｅｎ ｏｕｔ ａｆｔｅｒ ８ ｈｏｕｒｓ， ｃｏｎｔｉｎｕｉｎｇ ８ ｄａｙｓ． Ｒｅｓｕｌｔｓ： Ｔｈｅ ｉｎｆｅｃｔｉｖｅ ｒａｔｅ ｏｆ ｍｅｍｂｅｒｓ ｉｎ ｔｈｅ ｏｂｓｅｒｖａｔｉｏｎ ｇｒｏｕｐ， ａｃｃｅｐｔｉｎｇ ｔｈｅ ｈｙｓｔｅｒｅｃｔｏｍｙ ｆｏｒ ３ ｍｏｎｔｈｓ， ｗａｓ ２１．８％， ｂｕｔ ｔｈｅｒｅ ａｒｅ ５６．２％ ｐａｔｉｅｎｔｓ ｉｎ ｔｈｅ ｃｏｎｔｒｏｌ ｇｒｏｕｐ ｉｎｆｅｃｔｉｎｇ ｉｔ． Ｔｈｅ ｖａｇｉｎａｌ ｙｅａｓｔ ｉｎｆｅｃｔｉｏｎ ｒａｔｅｓ ｗｅｒｅ ４．６％， ａｎｄ １７．１％； Ｔｗｏ ｇｒｏｕｐｓ ｏｆ ｃｏｍｐａｒｉｓｏｎｓ ｓｈｏｗ ｔｈｅ ｓｔａｔｉｓｔｉｃａｌｌｙ ｓｉｇｎｉｆｉｃａｎｔ ｄｉｆｆｅｒｅｎｃｅｓ （Ｐ＜０．０１）． Ｖａｇｉｎａｌ ｒｅｓｉｄｕａｌ ｅｎｄ ｇｒａｎｕｌａｔｉｏｎ ｆｏｒｍａｔｉｏｎ ｒａｔｅ ｗａｓ ７．８％ ａｎｄ １０．９％ ｒｅｓｐｅｃｔｉｖｅｌｙ， ｄｉｆｆｅｒｅｎｃｅ ｈａｄ ｎｏ ｓｔａｔｉｓｔｉｃａｌｌｙ ｓｉｇｎｉｆｉｃａｎｔ （Ｐ＞０．０５）． Ｃｏｎｃｌｕｓｉｏｎs： Ｗｅｉ Ｙｉｎ Ｋａｎｇ ｃａｎ ｉｍｐｒｏｖｅｄ ｔｈｅ ｓｅｃｒｅｔｉｏｎ， ｅｆｆｅｃｔｉｖｅｌｙ ｐｒｅｖｅｎｔ ｖａｇｉｎｉｔｉｓ ｈａｐｐｅｎ， ｂｅ safety and no adverse reaction after the hysterectomy.

Key words: Hysterectomy, Hysterectomy, vaginal, Vaginitis, Candidiasis, vulvovaginal, Antibiotic prophylaxis