急诊剖宫产术后切口感染危险因素分析

Analysis of risk factors of wound infection after emergency cesarean section

目的探讨急诊剖宫产术后切口感染的危险因素。方法选取2017年1月-2019年1月德州市妇女儿童医院急诊剖宫产术后的患者150例,调取临床病例信息及一般临床资料,使用Logistic回归分析筛选急诊剖宫产术后切口感染的独立危险因素。结果通过对急诊剖宫产术后感染的危险因素单因素分析得出,两组患者的年龄、剖宫产史、产次和妊娠期糖尿病无明显差异(P>0.05),高血压、高血糖、肥胖、胎膜早破、双胎、术中出血量和手术时间具有明显差异(P<0.05)。对急诊剖宫产术后感染的危险因素的高血压、高血糖、肥胖、胎膜早破、双胎、术中出血量和手术时间进行多因素Logistic回归分析。结果表明:高血压(OR=3.713,95%CI:1.193-11.556)、高血糖(OR=7.336,95%CI:2.314-23.262)、肥胖(OR=3.002,95%CI:1.034-8.721)、胎膜早破(OR=2.969,95%CI:1.091-8.081)、双胎(OR=4.052,95%CI:1.266-12.968)、术中失血量(OR=5.758,95%CI:1.968-16.844)和手术时间(OR=6.190,95%CI:2.098-18.262)为急诊剖宫产术后感染的独立危险因素,差异具有统计学意义(P<0.05),均与急诊剖宫产术后感染相关。结论对急诊剖宫产术后,及时关注孕产妇的高血压、高血糖、肥胖、胎膜早破、双胎、术中出血量和手术时间,可以有效的降低术后切口感染的风险。

Objective To explore the risk factors of wound infection after emergency cesarean section.Methods Select 150patients after emergency cesarean section in maternity&child care center of dezhou hospital from January 2017 to January 2019,retrieve clinical case information and general clinical data,and use Logistic regression analysis to screen independent risk factors for wound infection after emergency cesarean section.Results Through a single factor analysis of the risk factors of infection after emergency cesarean section,there was no significant difference in age,cesarean section history,parity and gestational diabetes between the two groups(P>0.05),hypertension,hyperglycemia,Obesity,premature rupture of membranes,twins,intraoperative blood loss and operation time have significant differences(P<0.05).Multivariate Logistic regression analysis was performed on the risk factors of infection after emergency cesarean section,including hypertension,hyperglycemia,obesity,premature rupture of membranes,twins,intraoperative blood loss and operation time.The results showed:hypertension(OR=3.713,95% CI:1.193-11.556),hyperglycemia(OR=7.336,95%CI:2.314-23.262),obesity(OR=3.002,95% CI:1.034-8.721),Premature rupture of membranes(OR=2.969,95% CI:1.091-8.081),twins(OR=4.052,95%CI:1.266-12.968),intraoperative blood loss(OR=5.758,95% CI:1.968-16.844)And operation time(OR=6.190,95% CI:2.098-18.262)were independent risk factors for infection after emergency cesarean section,and the difference was statistically significant(P<0.05),both of which were similar to infection after emergency cesarean section.Related.Conclusion After emergency cesarean section,timely attention to maternal hypertension,hyperglycemia,obesity,premature rupture of membranes,twins,intraoperative bleeding and operation time can effectively reduce the risk of postoperative incision infection.