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目的研究剖宫产产妇术后切口感染及其危险因素,有针对性地加强防控。方法采用回顾性调查和单因素分析方法,对某基层妇幼保健院剖宫产产妇术后切口感染及临床资料进行研究与分析。结果该医院在2009-2012年期间共实施剖宫产手术3 108例,发生术后切口感染71例,感染率为2.28%。分析结果表明,引起剖宫产术后切口感染主要因素有阴道试产时间、阴道/肛诊次数、手术时间、BMI值、存在生殖道感染、胎膜早破等因素有关。Logistic回归分析结果也支持单因素分析得出的危险因素。结论基层妇幼保健院剖宫产术后切口感染发生率较高,其发生和多种因素有关,应有针对性地提出防控措施。
Objective To study cesarean section postoperative incision infection and its risk factors, to strengthen the prevention and control. Methods Retrospective investigation and single factor analysis were used to study and analyze the postoperative incision infection and clinical data of cesarean section maternal and child hospital in a grass-roots MCH hospital. Results During the period from 2009 to 2012, the hospital implemented a total of 3 108 cesarean sections and 71 incisional wound infections occurred after the operation. The infection rate was 2.28%. The analysis showed that the main factors causing incision infection after cesarean section were vaginal trial production time, vaginal / anal number, operation time, BMI, presence of genital tract infection, premature rupture of membranes and other factors. Logistic regression analysis also supported the risk factors identified by univariate analysis. Conclusions The incidence of incisional infection after cesarean section in primary MCH is relatively high. The incidence of incision infection is related to many factors. Prevention and control measures should be put forward in a targeted manner.