【摘要】 目的了解产程中常规采用阴道检查代替传统的肛门检查是否会增加母儿感染及并发症的发生。方法将研究对象随机分成对照组(肛门检查组)445例和实验组(阴道检查组)481例,分别采用传统的肛门检查和5%聚维酮碘溶液消毒后阴道检查来监测产程进展,采用单盲法观察母儿产后的体温,白细胞计数及分类,眼部、肺部、腹部体征,血液或者恶露培养结果等监测指标,记录在统一设计的表格上,按诊断标准确定母儿是否感染。结果两组母儿感染发生率比较差异无显著性意义(P>0.05);在妊娠合并细菌性阴道病的产妇中,对照组的产褥感染发生率明显高于实验组(P<0.05)。结论5%聚维酮碘溶液消毒后阴道检查代替传统的肛门检查用于监测产程,不增加母儿感染及并发症的发生,并可减少妊娠合并细菌性阴道病产妇产褥感染发生率,是产时服务中适宜的检查方法。更多还原

【Abstract】 Objective To determine whether the risk of fetal,maternal infections and other complications increase when the patients were given vaginal examination instead of rectal examination in labour monitoring.Methods Patients were randomly divided into two groups, the test group (n=481), in which labour was monitored through vaginal examination, and the control group (n=445) through rectal examination. The temperature,hemogram, and culture of blood or lochia of mothers and neonates in deferent groups were compared after delivery. And the single blind procedure was adopted.Results There was no statistical difference between the two groups in general conditions and in the rate of fetal and maternal infections (P>0.05). But puerperal infection occurred more in the control group if the patient had bacterial vaginitis during the pregnancy(P<0.05).Conclusions It seems safer in labour monitoring to give vaginal examination after sterilization by 5% povidone iodine than traditional rectal examination, and it maybe reduces the rate of puerperal infections in patients with bacterial vaginitis. We think it is a suitable method in the new services style of delivery.更多还原