摘要
目的:分析高龄产妇剖宫产术后切口感染特征及危险因素;方法:选取2015年3月—2017年2月在我院住院接受剖宫产的高龄孕妇1220例为研究对象,分析产妇术后切口感染的发生情况,并归纳可能造成切口感染的相关因素,运用二分类Logistic进行逐步回归分析。结果:1220例高龄剖宫产手术产妇,手术切口感染149例,感染发生率为12.21%;单因素分析结果发现体质指数、手术时间、术中出血量、营养不良、既往剖宫产史、侵入性操作、是否合并糖尿病、胎膜早破等因素具有统计学意义(P<0.05);Logistic逐步回归分析结果显示,体质指数>25kg/m^2、术中出血量>500mL、营养不良、既往存在剖宫产史、侵入性操作>4次、合并糖尿病是高龄剖宫产手术产妇切口感染的独立危险因素(OR=2.13、2.81、3.51、3.02、5.16、6.49;P<0.05);与手术时间、胎膜早破无明显相关(OR=1.29、1.28;P>0.05)。结论:高龄产妇剖宫产手术的切口感染因素有许多,临床在进行剖宫产手术时应针对其可能造成感染的相关危险因素进行有效干预,严格执行无菌原则,避免手术切口感染的发生。
Objective:To analyze the characteristics and risk factors of incision infection in elderly women after cesarean section.Methods:1220 elderly pregnant women who were hospitalized by cesarean section from March 2015 to February 2017 were selected as the study objects.The incidence of incision infection in parturient after operation was analyzed,and the related factors of incision infection were summarized.The stepwise regression analysis was carried out by using two classification Logistic.Results:Among the 1220 cases of elderly parturient undergoing cesarean section,149 cases of incision were infected,the incidence of infection was 12.21%.The results of univariate analysis showed that BMI,operation time,intraoperative blood loss,malnutrition,The history of cesarean section,invasive operation,diabetes mellitus and premature rupture of membranes were statistically significant(P<0.05);Logistic stepwise regression analysis Showed that BMI>25kg/m2,intraoperative bleeding>500mL,malnutrition,history of cesarean section,invasive operation>4 times.Diabetes mellitus is an independent risk factor for incision infection in elderly women undergoing cesarean section(OR=2.13,2.81,3.51,3.02,5.16,6.49;P<0.05),and there is no significant correlation between diabetes mellitus and operative time,premature rupture of membranes(OR=1.29,1.28;P>0.05).Conclusion:There are many factors of incision infection in elderly women undergoing cesarean section.In clinical cesarean section,effective intervention should be taken against the risk factors which may cause infection,and the principle of sterility should be strictly followed to avoid surgical incision infection.
作者
叶麒
YE Qi(Pingxiang people's Hospital,Pingxiang Jiangxi 337000,China)
出处
《药品评价》
CAS
2019年第2期50-52,共3页
Drug Evaluation
基金
江西省自然科学基金
编号:20122BAB205085
关键词
高龄产妇
剖宫产
切口感染
危险因素
Elderly Women
Cesarean Section
Incision Infection
Risk Factors
