29例剖宫产手术切口感染的回顾性分析及预防策略

发布时间：2018-11-26 14:04

【摘要】：目的探讨剖宫产手术切口感染的危险因素,为有效预防和控制剖宫产手术切口感染提供科学依据。方法采用回顾性调查方法,2011年12月至2012年12月在该院实施剖宫产手术发生切口感染的29例产妇作为观察组,抽取同期未发生切口感染的29例产妇作为对照组,比较两组各方面的差异,确定切口感染的危险因素。结果 589例剖宫产中有29例发生切口感染,感染率为4.9%。单因素分析结果显示,观察组产妇BMI(25.9±1.1)kg/m2,疤痕子宫6例,急诊手术18例,手术时间(1.2±0.6)h,住院时间(7.1±2.3)d,合并基础疾病为6例,胎膜早破为12例,阴道及肛诊次数(3.3±0.6)次,与对照组各项比较,差异有统计学意义(P0.05)。多因素分析结果显示,BMI(OR=2.802)、手术时间(OR=5.813)、合并基础疾病(OR=6.182)、胎膜早破(OR=11.219)为剖宫产手术切口感染的独立危险因素。结论多种因素影响手术切口感染,对高危人群采取针对性的预防控制措施,从而降低剖宫产手术切口感染率。
[Abstract]:Objective to explore the risk factors of incision infection in cesarean section and to provide scientific basis for prevention and control of incision infection. Methods from December 2011 to December 2012, 29 pregnant women who had incisional infection during cesarean section operation in our hospital were selected as observation group and 29 women without incision infection as control group. The risk factors of incision infection were determined by comparing the differences between the two groups. Results among 589 cases of cesarean section, 29 cases had incision infection, the infection rate was 4.9%. Univariate analysis showed that BMI (25.9 卤1.1) kg/m2, scar uterus in 6 cases, emergency operation in 18 cases, operation time (1.2 卤0.6) h, hospital stay (7.1 卤2.3) d, and basic diseases in 6 cases. 12 cases of premature rupture of membranes, vaginal and anal diagnosis times (3.3 卤0.6), compared with the control group, the difference was statistically significant (P0.05). Multivariate analysis showed that, BMI (OR=2.802, OR=5.813, OR=6.182 and OR=11.219 were independent risk factors for incision infection in cesarean section. Conclusion the infection rate of incision in cesarean section can be reduced by many factors, and the prevention and control measures should be taken to the high risk population in order to reduce the infection rate of incision in cesarean section.
【作者单位】：重庆市长寿区人民医院感染管理科;重庆市长寿区人民医院预防保健科;
【分类号】：R719.8

【参考文献】