高龄产妇剖宫产术后切口感染的危险因素及预后分析

发布时间：2018-12-21 12:44

【摘要】：目的分析高龄产妇剖宫产术后切口感染的危险因素,以期为临床预防术后切口感染提供参考。方法回顾性分析2011年3月-2015年6月医院接受剖宫产的1023例高龄产妇临床资料,分析术后切口感染率及感染病原菌类型,采用Logistic回归分析术后切口感染相关危险因素。结果 1023例高龄产妇术后切口感染118例,感染率为11.53%;118例感染患者送检标本分离病原菌114株,其中革兰阴性菌86株占75.44%,革兰阳性菌24株占21.05%,真菌4株占3.51%;单因素分析结果显示:体质量指数25kg/m2、术中出血量500ml、手术时间60min、侵入性操作4次,合并基础疾病为术后切口感染的相关因素(P0.05);多因素Logistic回归分析结果显示:体质量指数、术中出血量、基础疾病、院内侵入性操作次数等为高龄产妇术后切口感染的独立危险因素。结论高龄产妇剖宫产术后切口感染的危险因素较多,医护人员应制定针对性的护理干预对策进行预防,以期降低术后医院切口感染率。
[Abstract]:Objective to analyze the risk factors of incision infection in elderly women after cesarean section. Methods the clinical data of 1023 elderly women undergoing cesarean section from March 2011 to June 2015 were analyzed retrospectively. The postoperative incision infection rate and pathogen types were analyzed. The risk factors of incision infection were analyzed by Logistic regression analysis. Results there were 118 cases of incision infection in 1023 elderly women, the infection rate was 11.53%. 114 strains of pathogens were isolated from 118 infected patients, of which 86 strains were Gram-negative bacteria (75.44%), 24 strains were Gram-positive bacteria (21.05%), and 4 strains were fungi (3.51%). The results of univariate analysis showed that the body mass index (BMI) was 25kg / m2, the intraoperative bleeding was 500ml, the operation time was 60 min, the invasive operation was 4 times, and the underlying diseases were the related factors of postoperative wound infection (P0.05). The results of multivariate Logistic regression analysis showed that the body mass index, intraoperative bleeding volume, basic diseases and the number of invasive operations in hospital were independent risk factors for postoperative incision infection in elderly women. Conclusion there are many risk factors of incision infection in elderly women after cesarean section. Medical staff should make appropriate nursing intervention measures to prevent incision infection in hospital after caesarean section operation in order to reduce the nosocomial incision infection rate.
【作者单位】：遵义医学院附属医院妇产科;
【基金】：贵州科学技术基金资助项目(20120027)
【分类号】：R719.8

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