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目的:探讨剖宫产术切口感染的危险因素。方法:选择2002年1月～2009年6月淮安市第一人民医院剖宫产切口感染的130例产妇作为观察组,按照1∶2的比例选择无剖宫产切口感染的260例产妇作为对照组,对可能影响切口感染的因素进行单因素分析与Logistic回归分析。结果:剖宫产切口感染发生率为4.49%,单因素分析显示有16个因素与切口感染有关,非条件多因素分析筛选出5个主要的危险因素,包括高BMI、伴生殖道感染、阴道检查次数多、术后预防应用抗生素、手术时间长。结论:剖宫产切口感染的发生率较高,与多种因素有关,通过控制体重指数、治疗原发病、阴道检查,根据实际需要慎重选择、术前预防性应用抗生素、缩短手术时间等来预防和减少切口感染发生。
Objective: To explore the risk factors of incisional infection in cesarean section. Methods: From January 2002 to June 2009, Huai’an First People’s Hospital cesarean section incision infected 130 pregnant women as the observation group, according to the ratio of 1: 2 cesarean section incision infection of 260 pregnant women as a control Group, factors that may affect the incision infection were analyzed by univariate and logistic regression analysis. Results: The incidence of cesarean incision infection was 4.49%. Univariate analysis showed that there were 16 factors related to incision infection. Five major risk factors were screened by unconditional multivariate analysis, including high BMI, genital tract infection, vagina Check the number of times, postoperative prevention and use of antibiotics, surgery a long time. Conclusion: The incidence of cesarean section incision infection is high, with a variety of factors, through the control of body mass index, the treatment of primary disease, vaginal examination, according to the actual need of careful choice, preoperative prophylactic antibiotics to shorten the operation time to Prevention and reduction of incision infection occurs.