剖宫产后子宫切口感染危险因素分析

目的探讨剖宫产术后子宫切口感染危险因素,为其治疗提供参考。方法对96例剖宫产术后子宫切口感染进行调查,对相关因素进行Logistic回归分析,筛选剖宫产术后子宫切口感染的危险因素;将96例患者随机分为观察组和对照组,对照组采用常规抗生素治疗,观察组在对照治疗的基础加用克林美治疗,治疗14d后评价两组疗效。结果慢性高血压、肥胖、妊娠糖尿病与切口感染的发生有关。两组有效率均为100%,观察组治愈率为93.8%,高于对照组（77.1%）,相比较差异有显著性（P〈0.05）。结论肥胖、妊娠糖尿病和慢性高血压是剖宫产术后子宫切口感染的危险因素,采用克林美联合常规抗生素治疗,可以减少感染的发生

Risk factors of uterine incision infection after cesarean section

[Objective] To investigate the risk factors of uterine incision infection （UII） after cesarean section and provide reference for diagnosis and treatment of UII. [Methods] 96 UII patients were studied, the risk factors of UII patients were analyzed and screened by Logistic. 96 UII patients were divided into observation group and control group, conventional antibiotics were taken into control group, while conventional antibiotics combined with clin- damyein were taken into the observation group. Clinical efficacy was observed after 12 clays period. [Results] The emergence of UII and the risk factors of chronic hypertension, obesity and gestational diabetes mellitus had a certain degree of contact. The efficiency of the two groups were 100%, observeing cure rate group of was 93.8%, higher than those （77.1%）, （P 〈0.05）. [ Conclusion] The chronic hypertension, obesity and gestational diabetes mellitus are the risk factors of UII, conventional antibiotics combined with clindamycin treatment could reduce the incidence of infection.