期刊文献+

剖宫产术后切口感染原因分析及手术室预防性护理对策研究 被引量:9

THE STUDY ON RELATED FACTORS AND PREVENT IVE NURSING MEASURES OF INCISIONAL INFECTION AFTER CESAREAN SECTION
下载PDF
导出
摘要 目的:探讨剖宫产后切口感染的危险因素,为预防与控制感染提供依据。方法:对于2007~2012年在我院行剖宫产的1746例产妇进行回顾性调查分析。结果:1746例孕产妇切口感染的发生率为2.75%。肥胖、糖尿病、手术时间大于1h、胎膜早破及试产后急诊剖宫产的产妇其术后切口感染的发生率明显高于其他患者,差异有统计学意义(P<0.05)。产妇剖宫产后切口感染的发生率在不同年龄及是否有高血压之间差异无统计学意义(P>0.05)。结论:产妇剖宫产后切口感染的相关因素主要有肥胖、糖尿病、手术时间大于1h、胎膜早破及试产后急诊剖宫产。采取相应的护理措施可降低感染率的发生。 Objective: To explore the risk factors of incision wound infection after cesarean section and to provide basis for infection prevention and control. Methods:IT46 cases of cesarean section in our hospital from 2007 to 2012 were retrospectively analyzed. Re- suits:The incision infection rate of 1746 cases maternal was 2.75%. The maternal with obesity, diabetes, operation time more than one hour, premature rupture of membrane and emergency cesarean section after trial - produce have the obviously higher incision infec- tion rate than that of the other patients ( P 〈 0.05 ). The incision infection rate of maternal was not significantly different between dif- ferent age and blood pressure ( P 〉 0.05). Conduslon: The related factors of incision wound infection after cesarean section were obe- sity, diabetes, operation time more than one hour, premature rupture of membrane and emergency cesarean section after trial - pro- duce. The corresponding nursing measures were necessary to reduce the occurrence of incision infection.
作者 陈晓晴 汤婷
出处 《牡丹江医学院学报》 2013年第1期22-24,共3页 Journal of Mudanjiang Medical University
关键词 剖宫产 切口感染 相关因素 护理措施 cesarean section incision infection related factors nursing measures
  • 相关文献

参考文献6

二级参考文献34

  • 1龚时鹏,余艳红,陈莉.剖宫产术后切口感染的术前相关因素探讨[J].实用妇产科杂志,2005,21(8):495-497. 被引量:85
  • 2苏桂栋,龚时鹏,余艳红.剖宫产术后切口感染的术中和术后相关因素分析[J].第一军医大学学报,2005,25(8):1005-1006. 被引量:35
  • 3Zhang J, Lin YH, Meikle S, et al. Cesarean delivery on maternal request in Southeast China[ J]. Obstet Gynecol, 2008,111 : 1077.
  • 4Hager RME, Daltveit AK, Hofoss D, et al. Complications of cesarean deliveries: rates and risk factors[ J]. Am J Obstet Gynecol ,2004,190:428-434.
  • 5ACOG practice bulletin. Prophylactic antibiotics in labor and delivery[ J]. Intern J Gynecol Obstet, 2004,84:300-307.
  • 6Smaill F, Hofmeyr GJ. Antibiotic prophylaxis for cesarean section. Cochrane Database Syst Rev, 2003,CD000933.
  • 7Hopkins L, Smaill F. Antibiotic prophylaxis regimens and drugs for cesarean section. Cochrane Database Syst Rev, 2000, CD001136.
  • 8Berghella V, Baxter JK, Chauhan SP. Evidence-based surgery for cesarean delivery [J]. Am J Obstet Gynecol,2005,193: 1607-1617.
  • 9Tita AT, Hauth JC, Grimes A, et al. Decreasing incidence of postcesarean endomctritis with extended-spectrum antibiotic prophylaxis [ J ]. Obstet Gynecol,2008, 111:51-56.
  • 10Cunningham FG, Leveno KJ, De Palma RT, et al. Perioperative antimierobials for cesarean delivery: before or after cord clamping.? [ J ]. Obstet Gynecol, 1983,62 ( 2 ) : 151 -154.

共引文献150

同被引文献42

  • 1龚时鹏,余艳红,陈莉.剖宫产术后切口感染的术前相关因素探讨[J].实用妇产科杂志,2005,21(8):495-497. 被引量:85
  • 2曹伟新,李乐之.外科护理学[M].4版.北京:人民卫生出版社,2007:129-131.
  • 3Werner A, Suthar V, Plontzke J, et al.Relationship between bacteriological findings in the second and fourth weeks postpartum and uterine ipfection in dairy cows considering bacteriological results[J]. J Dairy Scl. 2012, 95(12): 7105-7114.
  • 4Odionnys RL, Nelson MG, Werner P, et al. Surgical wound infection in general surgery[J]. Cir Cir, 2011,79 ( 3 ) : 323- 329.
  • 5Olsen MA,Butler AM,Willers DM, et al. Risk factors for surgical site infection after low transverse cesarean sec- tion[J]. Infect Control Hosp Epidemiol, 2008,29 ( 4 ) : 477- 484.
  • 6Poulsen KB, Bremmelgaard A, Srensen AI, et al. Esti- mated costs of postoperative wound infections, a case- control study of marginal hospital and social security costs[J]. Epidemiol Infect, 1994,113(3) ~283-285.
  • 7Dweik D, Girasek E, Toreki A, et al. Women' s antenatal preferences for delivery route in a setting with high cesarean section rates and a medically dominated maternity system[ J]. Acta Obstetricia Et Gyne- cologica Scandinavica,2014,93 (4) :408 - 415.
  • 8范文,黄娥,段六生.腹部手术切口感染病原菌分布与耐药性调查[J].中华医院感染学杂志,2008,18(11):1562-1563. 被引量:51
  • 9刘永芳.剖宫产术后发生医院内感染的分析与预防对策[J].中国现代医生,2010,48(1):138-138. 被引量:6
  • 10李萍,刘晓,李倩.两种不同护皮法对子宫全切手术切口感染影响的对比研究[J].齐鲁护理杂志(下半月刊)(外科护理),2010,16(1):104-104. 被引量:4

引证文献9

二级引证文献27

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部