【摘要】 目的探讨术中不同冲洗液对腹膜炎腹腔细菌存活的影响,从而配合临床医生选择合理高效的腹腔冲洗液。方法选择外科住院的急性腹膜炎的急腹症手术病人195例,按病人人院手术先后顺序随机分为三组:A组:生理盐水冲洗腹腔;B组:0.5%聚维酮碘液冲洗腹腔;C组:0.5%甲硝唑溶液冲洗腹腔。比较术中冲洗前后腹腔渗液细菌培养阳性率,观察比较各组不同冲洗液术后患者的腹腔残余感染发生率变化。结果0.5%聚维酮碘液冲洗组和0.5%甲硝唑溶液冲洗组腹腔细菌存活和腹腔残余感染明显低于生理盐水冲洗组,差异有显著意义(P<0.01);而0.5%聚维酮碘液冲洗组和0.5%甲硝唑溶冲洗组在腹腔细菌存活和腹腔残余感染差异无统计学意义,(P>0.05)。结论0.5%聚维酮碘液冲洗液和0.5%甲硝唑冲洗液在急性化脓性腹膜炎患者术中有显著的疗效,能达到抑菌抗感染,在临床上有应用推广价值。更多还原

【Abstract】 Objective To investigate the effects of abdominal cavity irrigation with different solutions on survival of bacteria in abdominal cavity for the acute diffuse peritonitis.Method 195 inpatients with acute diffuse peritonitis in surgical departments were selected and randomly divided into 3 groups,each having 65 patients,and their abdom- inal cavities being flushed by physiological salines solution,0.5% povidone iodine liquid and 0.5% metronidazole respectively.Comparative observe the survival rate of abdominal bacteria and the rate of abdominal residual infec- tion.Result The survival rate of abdominal bacteria and the rate of abdominal residual infection in group B and C were much lower than those of group A.There were significant difference(P<0.01).And there are no significant difference(P>0.05)between group B and group C.Conclusion 0.5% povidone iodine liquid and 0.5% metron- idazole bad obviously curative effect on the operation of acute peritonitis.They can prohibit the growth of bacteria and reduce complications of the peritonitis.It’s worth for clinical application and popularization.更多还原