剖宫产术后切口感染的相关因素分析与干预措施

Analysis of related factors of wound infections after cesarean section and intervention measures

目的探讨产妇剖宫产术后切口感染的相关因素及护理干预措施,为临床诊治提供参考依据。方法收集2012年1-12月行剖宫产术的1 130例产妇临床资料,统计其切口感染率,并分析导致切口感染的相关因素,制定干预措施,数据应用SPSS16.0统计软件进行研究分析,相关因素分析采用多因素logistic回归分析。结果1 130例产妇剖宫产术后有12例发生切口感染,感染率为1.06%;单因素分析显示,手术时间>1h、体质量指数(BMI)>24.0 kg/m2、胎膜早破、合并妊娠并发症、连台手术者切口感染率明显高于手术时间≤1 h、BMI≤24.0kg/m2、无胎膜早破、无妊娠并发症、非连台手术者,两者比较差异有统计学意义(P<0.05),多因素logistic回归分析显示,手术时间、BMI、胎膜早破、妊娠并发症、接台手术是影响产妇剖宫产术后切口感染的危险因素(P<0.05)。结论产妇剖宫产术后切口感染与手术性质、地点、时间、参观人员、接台手术有关,针对影响因素制定可行的护理对策,可明显降低感染率。

OBJECTIVE To explore the related factors of maternal cesarean incision infections and its nursing intervention measures ,so as to provide the reference for clinical diagnosis and treatments .METHODS The clinical data of 1012 cases of pregnant women underwent cesarean section from Jan .to Dec .2012 were collected .The infection rate of incision was counted and the related factors were analyzed to formulate relative preventive measures . All data were statistically analyzed by SPSS 16 .0 software and multi‐factor logistic analysis of regression was adopted .RESULTS Totally 12 cases appeared incision infections after cesarean section and the infection rate was 1 .06% .Single factor analysis showed that the infection rate of patients with operation time 〉1h ,BMI 〉 24 .0 kg/m2 ,premature rupture of fetal membranes ,pregnancy complications and consecutive opera‐tions were obviously higher than those in the opposite .The differences were significant （P〈0 .05） .Multi‐factor logistic analysis of regression revealed that operation time ,BMI ,pregnancy complications and consecutive opera‐tions were the risk factors of incision infections of pregnant women after cesarean section （ P 〈 0 .05 ） . CONCLUSION Surgical site infections of incision in pregnant women with cesarean section is related to operation properties ,operation sites ,operation time ,the visitors and the after surgery .Formulating the feasible nursing countermeasures according to the influencing factors can significantly reduce the rate of infections .