产科腹部切口感染的危险因素分析及预防性护理简

目的 探讨临床上产科腹部手术切口感染的危险因素,并制订针对性的预防性护理对策,降低切口感染.方法 回顾性分析2011年1月～2012年12月自贡市第一人民医院院感科120例剖宫产产妇的临床资料,根据术后是否发生切口感染将其分为研究组（切口感染）42例和对照组（未发生切口感染）78例,对可能影响切口感染的因素进行分析,并制订具有针对性的护理控制措施.结果 42例出现切口感染,感染率为35.0％.两组患者的体重指数（BMI）、检查次数、手术时间、备皮到手术时间、血红蛋白、胎膜早破、夏季手术、多人病房和抗生素使用情况比较,差异均有统计学意义（均P＜ 0.05）;两组的年龄、孕龄、孕次比较,差异无统计学意义（P＞ 0.05）; BMI、夏季手术、使用抗生素和胎膜早破以及手术时间均是影响产科中腹部手术切口感染的危险因素.结论 产科中术后切口感染具有较高的发病率,危险因素也比较多,临床中应加强针对性的预防护理措施,从而减少切口感染发生.

Risk factors and preventive care of obstetric abdominal incision infection

Objective To investigate the risk factors of obstetric abdominal incision infection in clinical, and to formu- late targeted preventive care measures to reduce wound infection. Methods Clinical data of 120 puerperas with caesare- an section from January 2011 to December 2012 in Infection Division of the First People＇s Hospital of Zigong City were retrospective analyzed, and they were divided into study group with 42 cases （wound infection） and control group with 78 cases （no wound infection） according to the status of incision infection postoperative. The factors of wound infection were analyzed, and targeted control measures were formulated. Results A total of 42 cases were wound infection with the rate of 35.0%, the body mass index, number of checks, operative time, skin preparation to operative time, hemoglobin, premature rupture of membranes, summer surgery, multiplayer wards and the using of a antibiotics in the two groups were found had statistically significant differences （all P 〈 0.05）; the age, gestational age, pregnant time of two groups were found had no statistically significant differences （P 〉 0.05）; using of antibiotics, premature rupture of membranes, and operation time were the main risk factors of the abdominal incision obstetric infection. Conclusion Wound infection in obstetric postoperative has a high incidence, with more risk factors, so it should be strengthened that targeted clinical preventive care measures, in order to reduce the occurrence of wound infection.