剖宫产切口感染临床特征分析及预防对策

Clinical characteristics of incision infections induced by cesarean section and prevention countermeasures

目的探讨剖宫产切口感染临床特征及预防对策,减少切口感染的发生。方法对1260例剖宫产产妇病历进行回顾性调查,统计分析切口感染有关的资料,并对切口感染相关因素分为感染组与非感染组进行分析比较。结果切口感发生率3.97%,切口分泌物培养阳性60.00%;切口感染组产妇住院(10.45±3.25)d高于非感染组产妇的(7.22±1.34)d(P<0.05);切口感染组产妇年龄(31.45±3.04)岁、体重指数24.78±0.34、肛查阴道检查(3.34±0.42)次、手术时间(68.90±10.45)min,高于非感染组产妇的(26.98±2.86)岁、(23.86±0.45)、(1.43±0.22)次、(57.57±8.34)min(P<0.05),是引起切口感染相关因素,两组产妇切口长度差异无统计学意义。结论剖宫产切口感染发生率高,预后不良,应针对切口感染危险因素采取相应措施,减少切口感染的发生。

OBJECTIVE To explore the clinical characteristics of incision infections induced by cesarean section and put forward prevention countermeasures so as to reduce the incidence of the incision infections. METHODS The medical records of 1260 cases of maternal mothers who underwent cesarean sect;on were retrospective!,y investigated, then the related data of incision infections were statistically analyzed, and the related factors for the incision infections were divided into the infection group and the non-infection group so as to analyze and compare. RESULTS The incidence rate of incision infections was 3.97%, the positive rate of incision secretion culture was 60.00% ; the length of hospital;zation of the infection group was （10.45!3.25） d, longer than （7.22±1.34）d （P〈0.05） of the non-infection group, the age of the infection group （31.45±3.04） years was higher then （26.98 ±2.86） years of the non-infection group the body mass index of the infection group was （24.78±0.34）, higher than （23.86± 0.45） of the non-infection group the frequency of anus and vaginal examination of the infection group was （3.34±0.42） times, more than （1.43＋0.22） times of the non-infection group the length of operation of the infection group was （68.90±10.45） min, longer than （57.57±8.34）min of the non-infection group （P〈 0.05）, the factors discussed above were associated with the incision infections the difference in the length of incision between the two groups was not significant. CONCLUSION The incidence of incision infections induced by cesarean section is high, with the prognosis poor it is necessary to take corresponding measures aiming at the risk factors for the incision infections so as to reduce the incidence of the incision infections.