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目的探讨剖宫产手术部位感染原因,为制定预防控制措施提供依据。方法回顾性分析4080例剖宫产手术患者的临床资料,观察感染相关因素及感染病原菌分布。结果剖宫产手术部位感染患者68例,剖宫产手术部位感染率1.67%。感染相关因素主要包括试产失败后改剖宫产、妊娠合并症、胎膜早破、住院待产时间长、肥胖、夏季手术等,差异具有统计学意义(P<0.05)。感染病原菌从高到低依次为大肠埃希菌、聚团肠杆菌、金黄色葡萄球菌、表皮葡萄球菌。结论多种因素可增加剖宫产手术感染率,针对感染因素采取积极干预措施,可降低剖宫产手术感染率,临床应引起足够重视。
Objective To investigate the causes of cesarean section infection and provide the basis for prevention and control measures. Methods A retrospective analysis of 4080 cases of cesarean section in patients with clinical data, infection-related factors and the distribution of infectious pathogens. Results 68 cases of cesarean section infection, cesarean surgical site infection rate of 1.67%. Factors related to infection include cesarean section after failed pilot production, pregnancy complications, premature rupture of membranes, long hospital stay, obesity, summer surgery, the difference was statistically significant (P <0.05). Infectious pathogens from high to low were Escherichia coli, Enterobacter agglomerans, Staphylococcus aureus, Staphylococcus epidermidis. Conclusion Various factors can increase the infection rate of cesarean section operation and take active interventions for the infection factors, which can reduce the infection rate of cesarean section operation and should be given enough attention in clinic.