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目的探讨剖宫产术后切口感染高危因素,为预防切口感染寻找最佳治疗措施和方法。明确剖宫产切口感染细菌来源,对比观察剖宫产围术期抗生素应用选择和最佳治疗时机。方法对2004年3月至2011年2月行剖宫产切口感染82例,临床资料进行回顾性分析。结果滞产、羊水污染、胎膜早破、肥胖、妊娠期糖尿病、手术时间过长、术前营养状况、早期进食、术后剧烈咳嗽、综合技术、术中出血过多、贫血、关腹前切口清创等因素易致切口感染。结论有感染因素存在的产妇术前、术中、术后应采取相应措施,避免切口感染。
Objective To investigate the risk factors of incisional infection after cesarean section and to find out the best treatment and method for preventing incision infection. Cesarean section clear source of bacterial infection, comparative observation of cesarean section perioperative antibiotic selection and the best timing of treatment. Methods From March 2004 to February 2011, 82 cases of cesarean section incision infection were retrospectively analyzed. The results of prolonged labor, amniotic fluid contamination, premature rupture of membranes, obesity, gestational diabetes, surgery time is too long, preoperative nutritional status, early eating, severe cough, comprehensive technology, intraoperative bleeding, anemia, Incision debridement and other factors prone to incision infection. CONCLUSIONS: Prenatal, intraoperative and postoperative patients with infection factors should take corresponding measures to avoid incision infection.