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目的探讨剖宫产切口感染的高危因素,为其寻找最佳的预防措施和对策。方法对2166例剖宫产患者的资料进行回顾性分析,其中28例剖宫产术后腹壁伤口感染。将28例发生切口感染,将其作为观察组,同时随机挑选50例无伤口感染产妇作为对照组,比较其可能相关的高危因素。结果剖宫产切口感染发生的病例中:妊娠合并症、滞产、胎膜早破、产后出血等因素与对照组病人比较差异均有统计学意义(P<0.05)。结论妊娠合并症、滞产、胎膜早破、产后出血是剖宫产切口感染的高危因素,应及时干预有高危因素的产妇降低剖宫产切口感染的发生。
Objective To investigate the risk factors of incision infection in cesarean section and to find out the best preventive measures and countermeasures. Methods The data of 2166 cases of cesarean section were retrospectively analyzed, of which 28 cases were infected with abdominal wounds after cesarean section. Twenty-eight incisional wounds were selected as the observation group. Fifty randomly selected mothers without wound infection were selected as the control group to compare the possible risk factors. Results Cesarean section incision infection occurred in cases: pregnancy complications, prolonged labor, premature rupture of membranes, postpartum hemorrhage and other factors compared with the control group patients were statistically significant (P <0.05). Conclusions Pregnancy complications, prolonged labor, premature rupture of membranes and postpartum hemorrhage are the risk factors for cesarean incision infection. It is necessary to promptly intervene the women with high risk factors to reduce the incidence of cesarean section incision infection.