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目的探讨妇产科腹部手术切口感染的相关危险因素,采取相应的防治对策。方法行腹部手术后切口发生感染的19例患者,患者年龄19~62岁,平均30岁。综合分析切口感染的原因,及时采取防治措施。结果手术室、病室空气环境污染、机体的免疫力、肥胖、糖尿病、患者个人卫生、术前感染情况、手术时间过长、手术切口的缝合技术以及术中高频电刀的使用、医务人员医院感染防控意识、围手术期抗生素的不合理使用等均可以导致术后切口感染的发生。结论重视孕期保健,增强产妇机体抵抗力、积极治疗患者的基础疾病,选择适当的切口、按时换药,能够有效降低术后腹部切口感染的发生率,减少患者的痛苦、减轻患者的医疗费用,从而避免医疗纠纷的发生。
Objective To investigate the related risk factors of incision infection in obstetrics and gynecology abdomen and to take corresponding countermeasures. Methods Twenty-nine patients underwent incision infection after abdominal surgery. The patients were 19 to 62 years old with an average of 30 years. Comprehensive analysis of the causes of incision infection, take timely control measures. Results The operating room, hospital air environment pollution, the body’s immunity, obesity, diabetes, patient’s personal hygiene, preoperative infection, surgery time is too long, surgical incision suture technique and the use of intraoperative high frequency electric knife, medical staff hospital infection Prevention and control awareness, perioperative use of antibiotics, etc. can lead to incision infection. Conclusions Emphasis on health care during pregnancy, enhance maternal body resistance, active treatment of patients with underlying diseases, select the appropriate incision, dressing on time, can effectively reduce the incidence of postoperative abdominal incision infection, reduce patient pain and reduce patient medical costs, Thus avoiding the occurrence of medical disputes.