剖宫产产妇切口感染的危险因素分析与预防对策

发布时间：2018-07-15 13:37

【摘要】：目的探讨剖宫产产妇切口感染相关影响因素及预防控制措施,旨在降低剖宫产产妇术后感染率。方法选取2012年1月-2013年12月行剖宫产术后切口感染的68例产妇为观察组,另按照1∶1比例选取同期行剖宫产术后无切口感染的68例产妇为对照组,对影响剖宫产术后感染的相关因素进行logistic回归分析,并提出相应的预防控制措施。结果经logistic多因素分析显示,胎膜早破、羊水感染、孕期贫血、体质量指数高、妊娠糖尿病、阴检肛查3次、术前未用抗菌药物预防是剖宫产产妇术后感染的独立危险因素。结论剖宫产术后感染是由多因素引起的,提高产妇感染的认识、加强围产期检查及保健指导,术前控制产妇体质量及血糖水平、围手术期积极用药预防能有效降低剖宫产术后感染。
[Abstract]:Objective to investigate the related factors of incision infection in cesarean section and the preventive and control measures to reduce the infection rate of cesarean section. Methods 68 pregnant women with incision infection after cesarean section from January 2012 to December 2013 were selected as observation group, and 68 women without incision infection after cesarean section were selected as control group according to 1:1 ratio. Logistic regression analysis was carried out to analyze the related factors affecting infection after cesarean section, and the corresponding preventive and control measures were put forward. Results logistic multivariate analysis showed that premature rupture of membranes, infection of amniotic fluid, anemia during pregnancy, high body mass index, gestational diabetes mellitus, 3 times of anal examination were independent risk factors of infection after cesarean section. Conclusion infection after cesarean section is caused by many factors. To improve the knowledge of infection, to strengthen perinatal examination and health care guidance, to control the body mass and blood sugar level of parturient before operation. During perioperative period, prophylaxis and prophylaxis of active medication can effectively reduce postoperative infection of cesarean section.
【作者单位】：温州市人民医院产科;
【基金】：温州市医药卫生科学研究基金资助项目(2009B047)
【分类号】：R719.8

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