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目的研究剖宫产对体质量指数(BMI)≥30kg/m2肥胖妇女与BMI<30kg/m2正常妇女相比在泌尿道以及手术切口感染率的影响,并观察肥胖产妇与正常产妇新生儿的状况,为临床护理提供依据。方法选取2008年2月-2012年7月进行剖宫产的肥胖产妇观察记录134例为肥胖组与161名正常产妇为正常组;在使用剖宫产生产后直至出院时的切口感染以及尿路感染的发生率,同时,监测上述所有产妇生产后新生儿的身体状况,使用SPSS 18.0统计软件进行统计分析,组间数据的比较采用t检验,计量资料采用χ2检验。结果与正常产妇相比,肥胖产妇在剖宫产术后的感染率均明显升高;肥胖产妇在剖宫产后出现泌尿道和切口感染的发生率分别为23.7%和13.7%,显著高于正常产妇的10.6%和3.7%;其中高度肥胖(BMI≥35kg/m2)产妇泌尿道和切口感染的发生率分别为36.2%和25.5%,肥胖产妇生产巨体婴儿的概率也高于正常产妇(P<0.05)。结论肥胖产妇随着肥胖程度的增加在剖宫产术后出现切口感染和尿路感染的发生率会更高,并且会增加巨大儿的出生概率,在临床护理中应予以重视。
Objective To study the effect of cesarean section on infection rates of urinary tract and surgical incision in obese women with body mass index (BMI) ≥30kg / m2 and normal women with BMI <30kg / m2 and to observe the status of obese and normal newborns , Provide the basis for clinical nursing. Methods From February 2008 to July 2012, 134 cases of obese mothers undergoing cesarean section were obese and 161 normal mothers were enrolled as normal subjects. Incisional infection after cesarean section until delivery and urinary tract The incidence of infection was monitored at the same time. The physical status of newborns was monitored after all the above maternal births were analyzed by SPSS 18.0 statistical software. The data of t-test and t-test were used to compare the data between groups. Results The prevalence of obese mothers after cesarean section was significantly higher than that of normal mothers. The incidence of urinary and incisional infections after cesarean section in obese mothers was 23.7% and 13.7%, respectively, significantly higher than 10.6% and 3.7% of normal mothers, respectively. Incidences of urinary tract and incision infection were 36.2% and 25.5% in obese women with obesity (BMI≥35kg / m2), and those in obese mothers were also higher than those in normal maternal <0.05). Conclusion The incidence of incisional infection and urinary tract infection in obese mothers with cesarean section increase with the increase of obesity, and will increase the probability of birth of huge children, which should be paid more attention in clinical nursing.