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目的:探讨产科手术患者切口感染的诱发因素与相应防范管理对策。方法:选择产科剖宫产产妇200例,均为慈溪市第三人民医院2015年2月~2016年2月收治,分析切口感染因素,并制定相应防范管理措施。结果:选取的200例患者,切口感染15例,占7.5%。其中是否连台手术、手术时间、有无妊娠并发症、BMI为影响切口感染的单因素(P<0.05),年龄与感染无相关性(P>0.05)。连台手术、手术时间>1h、合并妊娠并发症、胎膜早破、BMI>24kg/m2是独立诱导产科术后切口感染的因素。结论:针对产科剖宫产产妇,连台手术、手术时间>1h、合并妊娠并发症、BMI>24kg/m2是独立诱导产科术后切口感染的因素。临床需制定相应防范管理对策,如缩短手术时间、纠正产妇体重指数、做好环境干预、积极治疗妊娠期并发症、提高缝合技术、加强心理干预和健康宣教,可降低产后切口感染并发风险,确保产妇临床安全。
Objective: To investigate the inducing factors of incision infection in obstetric surgery patients and corresponding management countermeasures. Methods: 200 cases of obstetric cesarean section were selected. All of them were admitted to the Third People’s Hospital of Cixi City from February 2015 to February 2016. The factors of incision infection were analyzed and corresponding preventive and management measures were formulated. Results: The selected 200 patients, incision infection in 15 cases, accounting for 7.5%. There was no correlation between age and infection (P> 0.05). There was no correlation between age and infection (P> 0.05). Even with surgery, surgery time> 1h, complications of pregnancy, premature rupture of membranes, BMI> 24kg / m2 is an independent factor inducing incision infection after obstetrics. CONCLUSIONS: In the case of obstetric cesarean delivery, patients with continuous operation, operation time> 1h, complicated with pregnancy complications and BMI> 24kg / m2 are the independent factors that induce incision infection after obstetrics. Clinical need to develop appropriate prevention and management strategies, such as shortening the operation time, correct maternal body mass index, good environmental intervention, active treatment of pregnancy complications, improve suture techniques, strengthen psychological intervention and health education, reduce the risk of post-natal incision infection, to ensure that Maternal clinical safety.