剖宫产术后切口感染的危险因素分析

发布时间：2018-10-10 15:51

【摘要】：目的探讨剖宫产术后发生切口感染的危险因素,制定对应的护理干预对策,以降低感染发生率。方法回顾性分析2009年2月-2013年2月收治的1 473例剖宫产产妇临床资料,模型筛选采用Stepwise法,采用非条件logistic回归分析危险因素。结果 1 473例剖宫产产妇术后共发生切口感染42例,感染率2.8%;单因素分析显示,切口感染的危险因素包括高龄30岁、合并基础疾病(糖尿病)、体质量指数25kg/m2、术中出血量300ml、手术时间60min、侵入性操作5次,其感染率分别为6.6%、12.3%、7.3%、5.8%、5.8%、7.0%,差异有统计学意义(P0.05);多因素分析显示,合并基础疾病的危险因素最大(P=0.009),其余危险因素依次为侵入性操作频繁(P=0.012)、手术时间较长(P=0.018)、体质量指数较高(P=0.021)等。结论剖宫产术后发生切口感染与多种因素关系密切,临床可采取针对性的护理干预对策预防感染,确保母婴安全。
[Abstract]:Objective to explore the risk factors of incision infection after cesarean section and to make corresponding nursing intervention measures to reduce the incidence of infection. Methods the clinical data of 1 473 cases of cesarean section from Feb 2009 to Feb 2013 were analyzed retrospectively. The model was screened by Stepwise method and the risk factors were analyzed by non conditional logistic regression analysis. Results there were 42 cases of incision infection in 1 473 cases of cesarean section, the infection rate was 2.8%, univariate analysis showed that the risk factors of incision infection included 30 years old. Combined with basic diseases (diabetes mellitus), body mass index (BMI) of 25kg / m2, intraoperative bleeding volume of 300ml, operation time of 60 min, invasive operation of 5 times, the infection rate was respectively 6.6 / 12.3and 5.8cm / 5.8cm, the difference was statistically significant (P0.05), the multivariate analysis showed that, The risk factors associated with underlying diseases were the largest (P0. 009), and the other risk factors were frequent invasive operation (P0. 012), long operation time (P0. 018), high body mass index (P0. 021), and so on. Conclusion incisional infection after cesarean section is closely related to many factors. Clinical nursing intervention can be taken to prevent infection and ensure the safety of mother and child.
【作者单位】：湖北省监利县人民医院妇产科;湖北省监利县人民医院皮肤科;
【基金】：湖北省卫生厅基金项目(WJ01564)
【分类号】：R181.3

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