局解手术学杂志2025，Vol.34Issue(6)：512-515,4.DOI:10.11659/jjssx.05E024076
加温碘伏用于老年腹腔镜下子宫切除术前消毒的临床研究
Clinical study on the warmed iodophor for preoperative disinfection of laparoscopic hysterectomy in elderly
摘要
Abstract
Objective To determine the clinical effect of warmed iodophor for preoperative disinfection in elderly patients undergoing laparoscopic hysterectomy.Methods A total of 84 elderly patients who underwent laparoscopic hysterectomy were selected and randomly divided into the room temperature group(disinfected with iodophor at a temperature of 24℃)and the warmed group(disinfected with iodophor at a temperature of 39℃),with 42 cases in each group.The disinfection qualification status,incision infection status,nasopharyngeal temperature,awakening time,adverse reactions,intraoperative blood loss,incision drainage volume,and hidden blood loss of patients in the two groups were compared.Results There was no statistically significant difference in the disinfection qualification rate or incision infection rate between the two groups(P>0.05).At 10 minutes,30 minutes,60 minutes after disinfection and the end of the operation,the nasopharyngeal temperatures of patients in the warmed group were significantly higher than those in the room temperature group(P<0.05).The awakening time of patients in the warmed group was significantly shorter than that in the room temperature group(P<0.05),and the incidences of intraoperative hypothermia and shivering reaction after awakening were significantly lower than those in the room temperature group(P<0.05).There was no statistically significant difference in the intraoperative blood loss or incision drainage volume of patients between the two groups(P>0.05),while the hidden blood loss of patients in the room temperature group was significantly higher than that in the warmed group(P<0.05).Conclusion The iodophor at a temperature of 39℃for preoperative disinfection in elderly patients undergoing laparoscopic hysterectomy can not only ensure the disinfection effect and surgical safety,but also effectively maintain intraoperative body temperature stability,promote postoperative awakening,and reduce hidden blood loss.关键词
加温碘伏/腹腔镜下子宫切除术/老年/消毒Key words
warmed iodophor/laparoscopic hysterectomy/elderly/disinfection分类
医药卫生引用本文复制引用
石丹丹,严志勇,陈百豆,尚彩艳,吴浩..加温碘伏用于老年腹腔镜下子宫切除术前消毒的临床研究[J].局解手术学杂志,2025,34(6):512-515,4.基金项目
江苏省妇幼健康科研项目(F201753) （F201753）
