妇产科经腹手术切口感染的危险因素分析

Analysis on the risk factors of abdominal incision infection in obstetrics and gynecology

目的了解妇产科经腹手术进行术后切口危险因素,为相关防治措施的实施提供依据。方法通过回顾性调查方法,对某医院妇产科住院经腹手术患者手术切口感染现状及其危险因素进行调查与分析。结果共调查该医院妇产科2 741例住院经腹手术患者,共发生术后切口感染70例,切口感染率为2.55%。此类切口感染的主要病原菌是铜绿假单胞菌、金黄色葡萄球菌、大肠埃希菌和肺炎克雷伯菌。根据多因素分析结果,导致经腹手术的术后感染主要危险因素是手术时间长、合并基础疾病、未预防性使用抗菌药物、术前发热和体质指数较高等。结论该医院妇产科经腹手术术后切口感染率较高,危险因素多,应采取综合预防措施。

Objective To analysis the risk factors of abdominal incision infection in obstetrics and gynecology,and provide the basis for the prevention and treatment. Methods Retrospective survey was used to investigate and analysis the status and risk factors of the abdominal surgery wound infection in obstetrics and gynecology. Results There were 70 cases of postoperative wound infection in 2 741 patients with abdominal surgery in obstetrics and gynecology,the incision infection rate was 2. 55%. The major pathogen of wound infection were Pseudomonas aeruginosa,Staphylococcus aureus,Escherichia coli and Klebsiella pneumoniae. According to multivariate analysis results,the major risk factor of abdominal incision infection were surgery for a long time,underlying diseases,not prophylactic use of antibiotics,preoperative fever and high BMI.Conclusion The incidence rate of hospitals infection of the abdominal surgery wound in obstetrics and gynecology is high with many risk factors. We should take comprehensive measures to control and prevention.