摘要
目的:探讨剖宫产术后发生切口感染的高危因素,制定对应的干预对策,以降低感染发生率。方法:回顾性分析本院于2009年2月至2013年2月收治的剖宫产产妇1473例的临床资料,模型筛选采用Stepwise法,采用非条件Logistic回归分析危险因素。结果:剖宫产产妇术后共发生切口感染42例,感染率2.8%;单因素分析显示,切口感染的危险因素包括高龄(>30岁)、合并基础疾病、体质量指数较高、术中出血量(>300ml)、手术时间(>60min)、侵入性操作频繁(P<0.05)。多因素分析显示,合并基础疾病的危险因素最大(P=0.009),其余依次为侵入性操作频繁(P=0.012),手术时间较长(P=0.018),体质量指数较高(P=0.021)等。结论:剖宫产术后发生切口感染与多种因素关系密切,临床上可采取针对性的干预对策预防感染,确保母婴安全。
Objectives： To explore the postoperative infection risk factors in order to take relevant interventions and reduce the infection incidence. Methods： We had a retrospective analysis on the data of 1473 patients presenting from February 2009 to February 2013 with cesarean section and used Stepwise method and the unconditional logistic regression to analyze the risk fac- tors. Results： After cesarean section, 42 cases had incision infection, with the infection rate 2. 8%; Single factor analysis showed that incision infection risk factors included age （ 〉30 years old）, basic diseases, body mass index, intra- operative a- mount of bleeding （ 〉300 ml）, operation time （ 〉60 min）, frequent invasive operation （P 〈0. 05）. Multiple factors analysis showed that basic diseases was the biggest risk factor, （P = O. 009）, followed by the frequent invasive operation （P = O. 012）, surgery time （P = 0. 018） and body mass index （P =0. 021 ）. Conclusions： Postoperative incision infection after cesarean section is relevant to a variety of factors. Clinical nursing intervention should be adopted to ensure the safety of mothers and infants.
出处
《中国性科学》
2013年第8期34-36,共3页
Chinese Journal of Human Sexuality
基金
嘉兴市医学发展科研基金支撑项目(2009JW078)
关键词
剖宫产
切口感染
高危因素
干预对策
Cesarean Section
Incision Infection
Risk factors
Nursing intervention measures
