产妇剖宫产围术期切口感染因素分析

The incision infection factor analysis for patients during perioperative period of caesarean section

目的探讨产妇剖宫产围术期切口感染的相关因素,为临床降低刨宫产产妇感染提供有效的预防措施。方法回顾性分析2009年1月-2012年12月产科2 128例产妇行剖宫手术资料,将发生切口感染的52例产妇作为观察组,同期未发生感染的2 076例产妇作为对照组,采用单因素及多因素logistic分析对导致剖宫产产妇围术期切口感染因素进行相关分析。结果 2 128例行剖宫产手术产妇,共发生切口感染52例,感染率为2.44%;单因素结果显示,观察组产妇体质量指数、备皮至手术时间、手术时间、术中出血量、住院时间,分别为(25.80±2.35)kg/m2、(90.50±25.65)min、(90.80±25.50)min、(450.60±58.90)ml、(11.60±2.40)d,对照组分别为(20.10±1.24)kg/m2、(50.42±15.37)min、(50.30±20.10)min、(247.6±78.2)ml、(7.6±1.8)d,两组比较差异有统计学意义(P<0.05);经多因素分析,体质量指数、住多人病室、手术时间、胎膜早破是影响剖宫产产妇围术期切口感染的独立危险因素。结论剖宫产产妇应妥善处理围手术期的各种不良因素,加强医院卫生消毒管理,缩短手术时间,有效预防术后切口感染发生,有效提高产妇术后生存质量。

OBJECTIVE To explore the related factors causing incision infections of patients during perioperative period of caesarean section so as to provide effective preventive measures for reducing infection rate of parturients who receive caesarean .METHODS The data of 2128 cases of patients who underwent caesarean from Jan 2009 to Dec 2012 were retrospectively analyzed ,52 patients with incision infections were divided in the observation group , and the other 2076 patients without incision infection were divided into control group . Single factor analysis method and multiple factors logistic mdel were used to analyze the factors that lead to incision infections of caesarean patients during perioperative period .RESULTS Totally 52 of 2128 patients who underwent caesarean occurred infections ,with infection rate to be 2 .44% ;the single factor test results showed that the body mass index ,time from skin preparation to start of operation , operation time , intraoperative bleeding amount , and hospitalization stay of observation group were （25 .80 ± 2 .35）kg/m2 ,（90 .50 ± 25 .65）min ,（90 .80 ± 25 .50）min , （450 .60 ± 58 .90）ml and（11 .60 ± 2 .40）d respectively ,and that of the control group were （20 .10 ± 1 .24）kg/m2 , （50 .42 ± 15 .37）min ,（50 .30 ± 20 .10）min ,（247 .6 ± 78 .2）ml and（7 .6 ± 1 .8）d respectively ;there was significant difference between the two groups （P〈0 .05） .Through multiple factors analysis ,it was indicated that body mass index ,stay in multi-patients room , operation time , and premature rupture of fetal membranes were those independent risk factors influencing the incision infections of caesarean patients during perioperative period . CONCLUSIONS Cesarean patients should properly handle the various of adverse factors during perioperative period ,and it is necessary to strengthen the disinfection management of hospital and shorten operation time to effectively preventing the occurrence of postoperative incision infections and effectively improve the life quality of patients after operation .