剖宫产切口愈合不良的非生物因素临床分析

A clinical analysis of the non-biological factors for the poor wound healing after cesarean section

目的:探讨剖宫产切口愈合不良的非生物因素及预防。方法:回顾性分析100例剖宫产切口感染患者的临床资料,按1∶2比例随机选择同期无切口愈合不良剖宫产200例作为对照组进行比较。结果:切口愈合不良发生率4.08%;其中切口感染82例,脂肪液化11例,裂开7例。发生切口愈合不良的相关非生物因素为:BMI高、Hb低、住多人间病房、阴检肛查次数多、胎膜早破、伴有基础疾病、术前未预防应用抗生素、手术时间长、夏季、非主刀医生缝合、备皮至手术时间长。结论:造成剖宫产术后切口愈合不良的因素很多,针对上述易感因素,采取适当措施可减少切口愈合不良。

Objective： To discuss the non-biological factors and preventions for the poor wound healing after cesarean section. Methods： Retrospectively analyzing the information of 100 eases of ceasrean section patients with surgical site infection,randomly choosing other 200 eases of eeasrena section women without surgical site infection as the control group. Results： Patients with poor wound healing took up 4.08%, in which 82 patients with surgical site infection, 11 with fat liquefied and 7 with dehiscence. The relating non-biological factors of poor wound healing are： high BMI, low Hb, long surgical time, summer season, non-physician in charge of suture, long time from skin preparation to surgery. Conclusion： There are many factors causing the poor wound healing, against the above infection factors, taking the following measures can reduce the poor wound healing.