Clinical study on the warmed iodophor for preoperative disinfection of laparoscopic hysterectomy in elderly

SHI Dan-dan; YAN Zhi-yong; CHEN Bai-dou; SHANG Cai-yan; WU Hao

doi:10.11659/jjssx.05E024076

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Clinical study on the warmed iodophor for preoperative disinfection of laparoscopic hysterectomy in elderly

Clinical Research | 更新时间：2025-06-17

- Clinical study on the warmed iodophor for preoperative disinfection of laparoscopic hysterectomy in elderly
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 6, Pages: 512-514(2025)
- 作者机构：
  
  江苏省人民医院宿迁医院麻醉与围术期医学科，江苏宿迁 223800
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.05E024076
  CLC： R187
- Received：15 May 2024，
  
  Published：25 June 2025
- 稿件说明：
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石丹丹,严志勇,陈百豆等.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(06):512-514.

SHI Dan-dan,YAN Zhi-yong,CHEN Bai-dou,et al.Clinical study on the warmed iodophor for preoperative disinfection of laparoscopic hysterectomy in elderly[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(06):512-514.
石丹丹,严志勇,陈百豆等.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(06):512-514. DOI： 10.11659/jjssx.05E024076.

SHI Dan-dan,YAN Zhi-yong,CHEN Bai-dou,et al.Clinical study on the warmed iodophor for preoperative disinfection of laparoscopic hysterectomy in elderly[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(06):512-514. DOI： 10.11659/jjssx.05E024076.

摘要

目的

明确加温碘伏用于老年患者腹腔镜下子宫切除术前消毒的临床效果。

方法

选取行腹腔镜下子宫切除术的老年患者84例，随机分为室温组（采用24 ℃碘伏消毒）和加温组（采用加温至39 ℃的碘伏消毒），每组42例。对2组患者的消毒合格情况、切口感染情况、鼻咽温、苏醒时间、不良反应、术中出血量、切口引流量和隐性失血量等进行比较。

结果

2组患者的消毒合格率和切口感染率比较，差异均无统计学意义（

0.05）。在消毒后10 min、30 min、60 min及手术结束时，加温组患者的鼻咽温均显著高于室温组（

0.05）。加温组患者的苏醒时间显著短于室温组（

0.05），术中低体温和苏醒后寒战反应发生率显著低于室温组（

0.05）。2组患者的术中出血量和切口引流量比较，差异无统计学意义（

0.05），而室温组患者隐性失血量显著高于加温组（

0.05）。

结论

加温至39 ℃的碘伏用于老年患者腹腔镜下子宫切除术前消毒，在保证消毒效果和手术安全的基础上，能有效维持术中体温稳定，促进术后苏醒，并减少隐性失血量。

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（

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 （

0.05）. The awakening time of patients in the warmed group was significantly shorter than that in the room temperature group （

0.05），and the incidences of intraoperative hypothermia and shivering reaction after awakening were significantly lower than those in the room temperature group （

0.05）. There was no statistically significant difference in the intraoperative blood loss or incision drainage volume of patients between the two groups （

0.05），while the hidden blood loss of patients in the room temperature group was significantly higher than that in the warmed group （

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

Keywords

references

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