剖宫产术后腹部切口感染的危险因素探讨

Risk Factors Exploration of Abdominal Incision Infection after Cesarean Section

目的:探究剖宫产术后腹部切口感染的危险因素。方法:选取2013年9月-2016年9月笔者所在医院产科接收的50例剖宫产术后腹部切口感染患者为观察组,同期选取50例剖宫产术后腹部切口愈合良好的患者为对照组,分析引发患者腹部切口感染的危险因素。结果:观察组患者无菌操作与对照组比较,差异无统计学意义(P>0.05);体重指数(BMI)、手术时间、出血量、基础疾病、抗生素使用、胎膜早破、妊娠期糖尿病、住院天数与对照组比较,差异有统计学意义(P<0.05);多因素条件Logistic回归分析引发患者发生剖宫产术切口感染的高危因素有体重指数、手术时间、出血量、基础疾病、抗生素使用、胎膜早破以及妊娠期糖尿病等。结论:对产妇切口感染发生的原因进行有效的分析,明确患者发生伤口感染的高危因素,加强患者的孕前期保健工作,对异常产程情况进行及时有效的处理,可减少患者的剖宫产切口愈合不良,提高产妇的预后质量。

Objective：To explore the risk factors of abdominal incision infection after cesarean section.Method：50 patients with abdominal incision infection after the cesarean section were selected as the observation group,received in our hospital from September 2013 to September 2016.At the same time,50 patients with abdominal incision healed after cesarean section were selected as the control group,the risk factors in patients with abdominal incision infection were analyzed.Result：The aseptic operation of the observation group was compared with that of the control group,and there was no significant difference（P〈0.05）;body mass index（BMI）,operation time,bleeding volume,underlying diseases,antibiotic use,premature rupture of membranes,diabetes and gestational period of hospitalization were compared with those of the control group,and there were statistically significant（P〈0.05）.Multivariate conditional Logistic regression analysis showed that the risk factors of incision infection in patients with cesarean section were body mass index,operation time,bleeding volume,basic disease,antibiotic use,premature rupture of membranes and gestational diabetes.Conclusion：The effective analysis of the causes of maternal infection,patients with clear risk factors of wound infection,strengthen the health care work of pregnant patients,timely and effective treatment of abnormal labor,can reduce cesarean section patients with poor wound healing and improve the quality of maternal prognosis.