急诊剖宫产术后切口感染情况调查和影响因素分析

发布时间：2018-05-01 00:08

本文选题：急诊 + 剖宫产　；参考：《中国消毒学杂志》2015年10期

【摘要】：目的研究急诊剖宫产手术后切口感染的危险因素并采取有效措施。方法对急诊剖宫产手术切口感染危险因素进行调查并分别进行单因素和多因素Logistic回归分析。结果急诊剖宫产产妇的术后切口感染率显著高于非急诊产妇;单因素变量分析提示,患者年龄、术中失血量、手术时间、阴道(或)肛门检查次数、胎膜早破人数、肥胖人数、术前或术中应用抗生素人数、合并基础疾病人数、缝合止血不当人数、夏季手术人数等和急诊剖宫产手术术后切口感染的发生关系密切,且差异存在统计学意义(P0.05);Logistic多因素分析结果提示,手术时间长、阴道/肛门检查次数多、胎膜早破人数多、肥胖、术前或术中未预防性使用抗生素与合并基础疾病是导致急诊剖宫产手术术后发生切口感染的危险因素(OR1,P0.05)。结论急诊剖宫产术后切口感染发生率显著高于非急诊剖宫产,应针对导致感染发生的高危因素,做好预防措施,降低急诊剖宫产术后切口感染发生率。
[Abstract]:Objective to study the risk factors of incision infection after emergency cesarean section and to take effective measures. Methods the risk factors of incision infection in emergency caesarean section were investigated and analyzed by univariate and multivariate Logistic regression analysis. Results the postoperative incision infection rate of emergency cesarean section was significantly higher than that of non-emergency delivery, and univariate analysis showed that age, blood loss during operation, operation time, number of vaginal (or anal) examinations, number of premature rupture of membranes, obesity, and so on. The number of antibiotics used before or during operation, the number of patients with underlying diseases, the number of inappropriate suture hemostasis, the number of summer operations and so on were closely related to the incidence of incision infection after emergency cesarean section. The results of logistic multivariate analysis showed that the operation time was long, the number of vaginal / anal examinations was more, the number of premature rupture of membranes was high, and the patients were obese. Preoperative or intraoperative non-prophylactic use of antibiotics and associated underlying diseases were the risk factors leading to incision infection after emergency cesarean section. Conclusion the incidence of incision infection in emergency caesarean section is significantly higher than that in non-emergency cesarean section. The prevention measures should be taken to reduce the incidence of incision infection after emergency cesarean section.
【作者单位】：杭州市第一人民医院;
【分类号】：R719.8

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