高龄妊娠合并高血压产妇术后切口感染及影响因素分析

Analysis of incision infection and its influencing factors in advanced pregnancy complicated with hypertension after obstetrics and gynecology

目的探究高龄妊娠合并高血压产妇术后切口感染发生率及病原菌种类,并分析可能导致术后感染发生的因素。方法选取200名高龄妊娠合并高血压产妇,其中28名产妇发生术后切口感染,分析可能导致术后切口感染的因素。结果200名高龄妊娠合并高血压产妇中有28名发生术后切口感染,发生率为14.00%;通过对28名产妇进行病原菌分离,分离出19株革兰阴性菌与革兰阳性菌,占比率分别为63.16%、36.84%。导致高龄妊娠合并高血压产妇术后发生切口感染的因素主要有羊水较少或污染、手术季节夏季、手术时间≥35 min、住院时间≥7 d。结论高龄妊娠合并高血压产妇出现术后切口感染的可能性较高,病原菌种类分别为革兰阴性菌与革兰阳性菌,且可能导致产妇出现术后切口感染的因素较多。因此临床需要提高对不同影响因素的关注度,落实针对性防控措施,进而降低术后切口感染发生的几率,保证产妇健康安全。

Objective To explore the incidence of incision infection and the types of pathogenic bacteria in advanced pregnancy complicated with hypertension after obstetrics and gynecology,and to analyze the factors that may lead to postoperative infection.Methods A total of 200 pregnant women with hypertension were selected,and 28 of them had postoperative incision infection.The factors that might lead to postoperative incision infection were analyzed.Results Among 200 pregnant women with hypertension,28 of them had postoperative incision infection(14.00%).19 strains of Gram-negative bacteria and Gram-positive bacteria were isolated from 28 puerpera,accounting for 63.16%and 36.84%,respectively.The main factors leading to incision infection in advanced pregnancy complicated with hypertension after obstetrics and gynecology were less or polluted amniotic fluid,operation season and summer,operation time235 min and hospital stayM7 d.Conclusion Elderly pregnant women with hypertension are more likely to have postoperative incision infection,and the pathogenic bacteria are Gram-negative bacteria and Gram-positive bacteria,and there are many factors that may lead to postoperative incision infection in pregnant women.Therefore,clinical attention should be paid to difierent influencing factors and targeted prevention and control measures should be implemented to reduce the incidence ofpostoperative incision infection and ensure maternal health and safety.