妇产科手术患者围术期切口感染情况及危险因素分析

Analysis on the incisional wound infection of operation patients in Department of Gynaecology and Obstetrics during the perioperative pe-riod and its risk factors

目的分析及研究妇产科手术患者围术期的切口感染情况,并探讨其危险因素。方法选取2013年8月至2014年7月,于本院进行妇产科手术治疗的9056例患者为研究对象,将其中的切口感染发生情况进行统计,并分析其中不同年龄、并发基础疾病情况、其他部位感染情况、手术时间、是否胎膜早破及BMI者切口感染发生率进行比较,并以Logistic分析上述因素与切口感染的关系。结果 9056例手术患者中共发生66例切口感染,发生率为0.73%,且年龄较大、并发基础疾病、存在其他部位感染、手术时间较长、开腹手术及BMI值较高者的切口感染发生率明显高于其他患者,经Logistic分析显示,上述因素均是与感染发生率密切相关,P均<0.05。结论妇产科手术患者围术期的切口感染发生率仍需进一步控制,而年龄较大、并发基础疾病、存在其他部位感染、手术时间较长、开腹手术及BMI值较高均是其发生的危险因素。

ObjectiveTo analyze the incisional wound infection of operation patients in Department of Gynaecology and Obstetrics during the perioperative period, and investigate its risk factors.Methods9056operationpatientsinourhospitalfromAugust2013toJuly2014wereselected as research object, and the incisional wound infection was analyzed. The incisional wound infection rates of delivery women with different ages, basis disease situation, other infection situation, operation time, whether premature rupture of fetal membranes and BMI were compared. The relationship between those factors and incisional wound infection were analyzed with Logistic analysis. Results 66 cases ocurred with incisional wound infection, the rate was 0.73%. The rates of incisional wound infection were higher in patients who were older, complicated with basic diseases, sufferedwithothersiteinfection,moreoperationtime,withahigherBMIvalues（P〈0.05）.ConclusionThe rate of incisional wound infection in our department of gynaecology and Obstetrics needs to be further controlled. The age, basis disease, other site infection, operation time, premature rupture of fetal membranes and higher BMI value were high risk factors of incisional wound infection.