使用可溶性止血纱布对剖宫产术后盆腔感染的影响

发布时间：2018-09-12 06:34

【摘要】：目的探讨剖宫产患者术中使用可溶性止血纱布对术后盆腔感染的影响。方法采用临床随访及回顾性分析的方法,调查产科组(322例)和妇科组(92例)剖宫产产妇的资料,其中产科组纱布采用团块状填塞,妇科组纱布采用平铺式填塞,比较可溶性止血纱布不同填塞方式及数量产妇术后盆腔感染发生率。结果产科组盆腔感染率为4.04%(13/322),妇科组为0.00%(0/92),两组比较,差异无统计学意义(P=0.082)。剖宫产组手术过程中,使用可溶性止血纱布数量≤3块的产妇盆腔感染率为0,使用数量3块的产妇盆腔感染率为11.82%,两组比较,差异有统计学意义(P0.001)。结论剖宫产术中正确合理使用可溶性止血纱布,能有效避免术后盆腔感染的发生。
[Abstract]:Objective to investigate the effect of soluble hemostatic gauze on postoperative pelvic infection in patients with cesarean section. Methods Clinical follow-up and retrospective analysis were used to investigate the data of pregnant women in obstetrics group (322 cases) and gynecological group (92 cases). To compare the incidence of pelvic infection with different packing methods and quantity of soluble hemostatic gauze. Results the pelvic infection rate was 4.04% (13 / 322) in obstetrics group and 0.00% (0 / 92) in gynecology group. There was no significant difference between the two groups (P0. 082). In the cesarean section group, the pelvic infection rate was 0 when the number of soluble hemostatic gauze was less than 3 pieces, and 11.82 with the number of 3 pieces. The difference between the two groups was statistically significant (P0.001). Conclusion the correct and reasonable use of soluble hemostatic gauze during cesarean section can effectively avoid postoperative pelvic infection.
【作者单位】：太和县人民医院;
【分类号】：R719.8

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