论文部分内容阅读
目的研究产科剖宫产术切口感染的原因,对相关因素进行分析并提出预防措施。方法 2012年11月至2013年11月我院行产科剖宫产手术3 658例,从患者自身、手术及用药3个方面分析切口感染的相关因素。结果 3 658例剖宫产术患者有86例出现切口感染,感染率为2.35%。分析腹部切口感染的5个危险因素为血红蛋白<110 g/L、体质量指数≥22、羊水Ⅱ°~Ⅲ°污染、手术时间≥1 h、围术期用药,感染率分别为8.10%、3.56%、7.59%、4.12%、0.54%。结论产科剖宫产术切口感染的影响因素较多,加强围术期用药可有效地降低切口感染率。
Objective To study the causes of incisional infection in obstetrical cesarean section, analyze the related factors and propose preventive measures. Methods From March 2012 to November 2013, 3 658 cases of cesarean section were performed in our hospital. The related factors of incision infection were analyzed from the aspects of patient, operation and medication. Results 3 658 cases of cesarean section in patients with incision infection occurred in 86 cases, the infection rate was 2.35%. The five risk factors of abdominal incision infection were hemoglobin <110 g / L, body mass index ≥22, amniotic fluid Ⅱ ° ~ Ⅲ ° contamination, operation time ≥1 h and perioperative medication, the infection rates were 8.10% and 3.56 %, 7.59%, 4.12%, 0.54%. Conclusion There are many influencing factors in incisional infection of cesarean section in obstetrics. Strengthening perioperative medication can effectively reduce the incision infection rate.