妇产科腹部手术切口感染的危险因素调查分析及预防对策

Analysis of Risk Factors and Preventive Measures of Abdominal Incision in Obstetric and Gynecological Infections

目的调查分析妇产科腹部手术切口感染的危险因素及预防对策。方法回顾性调查分析2005年1月～2008年12月4230例妇产科开腹手术患者的临床资料。结果切12I感染发生率1．42％；机体质量指数高，合并基础疾病，年龄大，阴检、导尿、肛查多，急诊手术，备皮至手术时间长，夏季手术，手术时间长，非主刀缝合，术后预防用药，住院时间长等是切口感染相关因素，差异有统计学意义（P〈0．05）。结论应针对切口感染易感因素，采取相应的措施，预防切口感染。

OBJECTIVE Survey of abdominal incision in obstetric and gynecological risk factors and preventive measures.METHODS The clinical data of 4230 cases of obstetric and gynecological laparotomy in patients from Jan 2005 to Dec 2008.RESULTS Incision infection rate was 1.42%.The incision infection-associated factors were high body mass index,the combined basis of disease,age,vaginal anal Frederick Machado catheterization,emergency surgery,and surgical skin preparation time,the nummer of operation,long operation time,non-performed suture,after the prevention of drug use,and long hospital stay.CONCLUSIONS The abdominal incision infection in obstetrics and gynecology are caused by many factors.Appropriate preventive measures should be taken to prevent wound infection.