剖宫产切口感染相关因素的临床分析

Clinical analysis of related factors for wound infection after cesarean section

目的探讨行剖宫产手术术后出现切口感染的相关临床因素。方法 2008年1月-2010年6月医院住院行剖宫产782例产妇为研究对象,选择其中符合剖宫产指征且发生切口感染的38例产妇作为观察组,并随机选择同期未发生切口感染的38例剖宫产产妇作为对照组,比较两组剖宫产切口感染相关因素。结果符合剖宫产指征且发生切口感染的38例产妇,合并基础疾病如糖尿病、高血压等并发率为28.95%,明显高于对照组(10.53%),其中术前发生胎膜早破及瘢痕子宫再次剖宫产的发生率为21.05%,对照组为5.26%,经阴道检查的次数(3.4±0.3)次,对照组为(1.5±0.4)次,而术中所用时间(1.9±0.3)h,对照组为(1.7±0.2)h,住院时间(9.7±2.6)d,对照组为(7.3±3.2)d,两组上述因素经统计学分析,差异均有统计学意义(P<0.05)。结论剖宫产切口感染相关因素比较多,临床应针对不同的因素采取适当的预防措施,才可以降低切口感染的发生率。

OBJECTIVE To study the risk factors of cesarean section incision infection.METHODS From Jan 2008 to Jun 2010,782 cases of maternal after cesarean section in hospital were included,select one of compliance,and indications of cesarean section wound infection occurred in 38 cases of maternal as the observation group,and not randomly selected year wound infection occurred in 38 cases cesarean section as the control group were compared cesarean section wound infection related factors.RESULTS The indications of cesarean section and found 38 cases of wound infection occurred combined basis of maternal diseases such as diabetes,high blood pressure ratio（28.95%） was significantly higher（10.53%）,in which premature rupture of membranes occurred before surgery and scar again,the incidence of uterine cesarean section（21.05%） was significantly higher（5.26%）,and the number of times through the vaginal examination（3.4±0.3） was redundant control group（1.5±0.4）,and surgery all the time（1.9±0.3）h and hospital stay（9.7±2.6）d were also longer than the control group（1.7±0.2 h,7.3±3.2 d）,the two groups after statistical analysis of the above factors,the differences were statistically significant（P0.05）.CONCLUSION Cesarean section wound infection has risk factors,toward which we take appropriate preventive measures which can reduce the incidence of wound infection.