摘要
目的分析产妇会阴侧切术后切口感染的相关危险因素,为术后切口感染的防治提供理论依据。方法回顾性分析2009年1月-2012年10月产科顺产分娩产妇的临床资料3070例,其中行会阴侧切术产妇1214例,统计分析术后切口感染的发生率及其医院感染的相关危险因素。结果行会阴侧切术的1214例产妇中发现术后切口感染42例,感染率为3.5%;会阴侧切术后切口感染的发生与产妇的年龄和分娩次数无显著的相关性,但会阴侧切术后切口感染的产妇体重指数(BMI)、检查次数、助产率、产程分别为(28.8±4.3)、(3.2±1.4)次、45.2%、(13.6±3.4)h,显著高于非切口感染产妇的(24.6±3.8)、(1.8±0.9)次、16.35%和(11.2±3.2)h,而切口感染产妇的血红蛋白水平和自然分娩率分别为(102.7±12.1)g/L和54.8%,显著低于非切口感染产妇的(116.4±12.8)g/L和83.7%,差异均有统计学意义(P<0.05)。结论产妇BMI、血红蛋白水平、检查次数、助产率和产程是会阴侧切术后切口感染的危险因素,做好相关因素的防护有助于减少会阴侧切术后切口感染的发生率。
OBJECTIVE To investigate the risk factors of incisional infections in lateral episiotomy so as to provide theoretical reference for the prevention and treatment of postoperative incisional infections.METHODS From Jan 2009to Oct 2012,a total of 3070cases of pregnant women with eutocia were reviewed retrospectively,among which there were 1214cases who underwent the lateral episiotomy.The incidence of the postoperative incisional infections and the risk factors of incisional infections were statistically analyzed.RESULTS Of 1214cases of pregnant women who underwent the lateral episiotomy,the incisional infections occurred in 42cases with the infection rate of 3.5%.The incidence of the incisional infections was not closely related to the age or the frequency of the parturition（P0.05）.The BMI values,examination times,incidence of midwifery,and labor time of the lying-in women with the incisional infections were（28.8±4.3）,（3.2±1.4）times,45.2%,and（13.6±3.4） hours,significantly higher than（24.6±3.8）,（1.8±0.9）times,16.35%,and（11.2±3.2）hours of the lying-in women without incisional infections（P0.05）.However,the Hgb level of the lying-in women with the incisional infections was（102.7±12.1）g/L,significantly lower than（116.4±12.8）g/L of the lying-in women without incisiional infections,while the incidence of natural childbirth of the lying-in women with incisional infections was 54.8%,significantly lower than 83.7%of the lying-in women without the incisional infections,the difference was significant（P0.05）.CONCLUSION The BMI value,Hgb level,frequency of examination,incidence of midwifery,and labor time are the main risk factors of incisional infections in lateral episiotomy.The implementation of the corresponding protection measures can contribute to the decrease of the incidence of the incisional infections after the lateral episiotomy.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第16期3965-3966,共2页
Chinese Journal of Nosocomiology
关键词
会阴侧切术
切口感染
预防措施
Lateral episiotomy
Incisional infection
Preventive measure
