摘要
目的探讨剖宫产切口感染术中、术后高危因素,为切口感染寻找最佳的预防措施和方法。方法采用回顾性调查方法,调查可能与切口感染相关的术中及术后高危因素,包括是否急诊、麻醉方式、手术时间、手术医师的操作、住院天数、术中和失血量、术后护理等7项指标,并根据随机原则,取同一医院未感染的产妇进行对照。结果在术中及术后的相关因素中,麻醉方式、住院天数、手术时间等3项指标在感染组和对照组有显著性差异(P<0.01)。失血量及急诊等2项指标经统计学分析,感染组和对照组无显著性差异(P>0.05)。结论针对影响剖宫产切口感染的术中和术后高危因素,应制定有效的预防措施,以减少术后感染的发生。
Objective To investigate intraoperative and postoperative high-risk factors for surgical site infection after cesarean section. Methods We retrospectively reviewed cesarean section cases in terms of emergency operation, anesthesia methods, operating time, blood loss, hospital stay, surgical skills of the surgeon, and postoperative nursing care to identify the high risk-factors of surgical site infection during and after the operation. A retrospective case-controlled study of all the parturients with postoperative surgical site infection was conducted. Results In the risk factors examined, anesthesia methods, operative time, and length of hospital stay showed significant differences between the two groups, while volume of blood loss and emergency operation did not. Conclusion Effective measures need to be taken to eliminate the intraoperative and postopera- tive high-risk factors of surgical-site infection following cesarean section.
出处
《第一军医大学学报》
CSCD
北大核心
2005年第8期1005-1006,共2页
Journal of First Military Medical University
基金
广东省重大社会问题联合攻关项目(ZKB04701S)~~
关键词
剖宫产
切口感染
手术时间
失血量
cesarean section
surgical-site infection
blood loss
operating time
