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目的:探讨剖宫产切口感染的非生物因素及预防措施。方法:分析比较剖宫产术后切口感染组与无切口感染组产妇可能存在的与感染相关的非生物因素。结果:临床上引起切口感染的非生物因素包括体重指数高、营养不良、住多人间病房、夏季、阴检导尿肛查次数多、胎膜早破、伴有基础疾病或感染、术前未预防应用抗生素、手术时间长、非主刀医生缝合等。结论:提高对感染的认识,正确指导孕期保健,适当的检查、围手术期给药预防、控制病房内细菌数量、减少手术时间及降低社会因素剖宫产是控制剖宫产切口感染的有效措施。
Objective: To investigate the non-biological factors and preventive measures of cesarean section incision infection. Methods: The infertility-related abiotic factors that may be present in women with and without incision infection after incision infection were compared and analyzed. Results: The non-biological factors that cause incisional infection clinically include high body mass index, malnutrition, multi-room ward, summer, anal screening and anal canal examination, premature rupture of membranes, underlying diseases or infections, Prevention of antibiotics, surgery a long time, non-surgeon suture and so on. Conclusion: To improve awareness of infection, correct guidance during pregnancy, appropriate examination, perioperative drug administration, control of bacterial number in the ward, reduce the operation time and reduce social factors cesarean section is an effective measure to control cesarean section incision infection .