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目的:探究剖宫产术后手术切口感染的危险因素及其预防措施。方法:随机选取武隆县妇幼保健院2013年4月至2015年11月收治入院的剖宫产产妇500例,按照是否发生感染将其分成感染组和未感染组,其中发生88例出现感染(感染率17.6%)对比分析两组产妇的临床病例资料,分析总结导致剖宫产手术切口感染的相关危险因素,并探讨针对性预防措施。结果:结果显示,导致剖宫产术后手术切口感染的单因素结果有年龄、肥胖、术中出血量、胎膜早破、手术时间、妊娠合并症。且多因素Logistic回归性分析结果显示产妇肥胖、手术时间、出血量过多以及胎膜早破是影响术后切口感染的独立危险因素。结论:影响剖宫产术后切口感染的因素有很多,临床应在术前针对合并症进行适当处理,并尽量缩短手术时间,手术室严格进行消毒,并严格遵循无菌操作观念,继而降低术后切口感染的风险。
Objective: To explore the risk factors of surgical incision infection after cesarean section and its preventive measures. Methods: 500 women with cesarean section admitted to Wudang MCH from April 2013 to November 2015 were randomly selected and divided into infected group and non-infected group according to whether they were infected or not. Among them, 88 cases were found to have infection Infection rate of 17.6%) comparative analysis of two groups of maternal clinical case data, analysis and analysis of lead-induced cesarean section incision infection related risk factors and to explore targeted preventive measures. Results: The results showed that the cause of incisional wound infection after cesarean section were single factor results of age, obesity, intraoperative blood loss, premature rupture of membranes, operation time, pregnancy complications. Multivariate logistic regression analysis showed that maternal obesity, operative time, excessive bleeding and premature rupture of membranes were the independent risk factors for postoperative wound infection. Conclusion: There are many factors affecting incisional wound infection after cesarean section. The patients should be properly treated before surgery for complications, minimize the operation time, strictly sterilize the operating room and strictly follow the concept of aseptic operation, and then reduce the operation Risk of post-incision infection.