剖宫产手术切口感染的相关因素及预防措施

目的探讨剖宫产手术切口感染相关因素，并针对高危因素制定相应预防措施。方法回顾性分析南宁市妇幼保健院2008年7月至2012年6月间剖宫产病例5539例，其中切口感染病例50例的临床资料。结果剖宫产手术切口感染相关因素中，患者年龄≥30岁、急诊手术、合并基础病变均可引发切口感染（χ2值分别为58．59、19．26、6．94，均P〈0．05）。在产科相关因素中，手术时间长、胎膜早破、术后出血量多均为剖宫产切口感染的相关因素（χ2值分别为4．70、6．95、4．26，均P〈0．05）。结论剖宫产切口感染因素众多，且相互关联，应从多方面综合控制预防，才可有效降低切口感染的发生率。

Related factors and prevention measures of incision infection in cesarean section

Objective To explore the related factors of incision infection in cesarean section and to formulate corresponding preventive measures. Methods A retrospective analysis was conducted on the clinical data of 5 539 cases of cesarean section, including 50 cases of incision infection from July 2008 to June 2012. Results Of the relevant factors, age ≥30, emergency surgery, combined with basic lesions could lead to incision infection （χ2 value was 58.59, 19.26 and 6.94, respectively, all P 〈 0.05）. Among obstetric-related factors, long operation time, premature rupture of membranes and large amount of bleeding after surgery were related factors of cesarean section incision infection （χ2 value was 4.70, 6.95 and 4.26, respectively, all P 〈 0.05 ）. Conclusion There are many related factors of incision infection in cesarean section, and they are correlated with each other. Comprehensive control and prevention from many aspects may reduce the incidence of incision infection.