论文部分内容阅读
目的探讨剖宫产切口愈合不良的相关因素及预防。方法回顾性分析70例剖宫产切口感染患者的临床资料,与同期剖宫产无切口愈合不良2140例作为对照组进行比较。结果切口愈合不良发生3.17%,其中切口感染60例、脂肪液化7例、裂开3例。发生切口愈合不良的相关因素为:身体质量指数(BMI)高、血红蛋白(Hb)低、夏季、阴检肛查次数多、胎膜早破、术前未预防应用抗生素、伴有基础疾病、备皮至手术时间长、非主刀医生缝合、手术时间长。结论剖宫产术后切口愈合不良是多种因素影响的结果,下列措施可减少切口愈合不良:孕期控制体质量预防肥胖;术前应积极纠正贫血。营养不良及糖尿病;手术前短时间内备皮;阴检肛查根据实际情况选择;夏季加强无菌操作;围剖宫产术期静脉滴注抗菌药物;缩短手术时间;胎膜早破及时处理;术后加强营养。
Objective To investigate the related factors and prevention of poor healing of cesarean section incision. Methods A retrospective analysis of 70 cases of cesarean section incision infection in patients with clinical data, with no incision cesarean section at the same period of poor healing 2140 cases were compared as a control group. Results incision healing occurred 3.17%, incision infection in 60 cases, fat liquefaction in 7 cases, rupture in 3 cases. The incidence of incision poor healing related factors: high body mass index (BMI), low hemoglobin (Hb), the summer, the number of negative anal examination, premature rupture of membranes, preoperative prevention of antibiotics, with underlying diseases, preparation Skin to surgery for a long time, non-surgeon suture, surgery for a long time. Conclusion The poor incision healing after cesarean delivery is the result of many factors. The following measures can reduce the incision healing: Prevent body weight during pregnancy and prevent anemia; Preoperative correction of anemia should be actively taken. Malnutrition and diabetes mellitus; skin preparation shortly before surgery; anal examination according to the actual situation of the negative selection; to strengthen the summer aseptic surgery; cesarean section around the intravenous infusion of antimicrobial agents; shorten the operation time; premature rupture of membranes treatment ; Strengthen nutrition after surgery.