摘要
目的分析剖宫产术后腹部切口愈合不良的现状及危险因素。方法选取2020年1月至2023年1月安徽省金寨县妇幼保健院收治的200例剖宫产产妇,采用单因素、多因素logistic回归分析剖宫产术后腹部切口愈合不良的危险因素。结果200例产妇中,切口感染率为3.0%。单因素分析结果显示,两组皮下脂肪厚度、手术时间、羊水浑浊、术前低蛋白血症、术后发热史、切口类型、顺产转剖宫产比较,差异有统计学意义(P<0.05)。多因素分析结果显示,皮下脂肪厚度≥3 cm、手术时间≥1 h、羊水浑浊、术前低蛋白血症、术后发热、横切口、顺产转剖宫产是剖宫产术后腹部切口愈合不良的危险因素(P<0.05)。结论皮下脂肪厚度≥3 cm、手术时间≥1 h、羊水浑浊、术前低蛋白血症、术后发热、横切口、顺产转剖宫产是剖宫产术后腹部切口愈合不良的危险因素,临床应根据以上因素预防腹部切口愈合不良,促进产妇术后恢复。
Objective To analyze the status and risk factors of poor healing of abdominal incision after cesarean section.Methods A total of 200 women who underwent cesarean section in Jinzhai County Maternal and Child Health Hospital of Anhui Province from January 2020 to January 2023 were selected.Using univariate and multivariate logistic regression,risk factors for poor healing of abdominal incision after cesarean section were analyzed.Results The incision infection rate was 3.0%in 200 cases.The results of univariate analysis showed that there were significant differences in subcutaneous fat thickness,operation time,turbidity of amniotic fluid,preoperative hypoproteinemia,postoperative fever,incision type,and transfer from vaginal delivery to cesarean section between the two groups(P<0.05).The results of multivariate analysis showed that subcutaneous fat thickness≥3 cm,operation time≥1 h,turbidity of amniotic fluid,preoperative hypoproteinemia,postoperative fever,transverse incision,and transfer from vaginal delivery to cesarean section were risk factors for poor healing of abdominal incision after cesarean section(P<0.05).Conclusion Subcutaneous fat thickness≥3 cm,operation time≥1 h,turbidity of amniotic fluid,preoperative hypoproteinem ia,postoperative fever,transverse incision,and transfer from vaginal delivery to cesarean section are the risk factors for poor healing of abdominal incision after cesarean section.Clinical should be based on the above factors to prevent poor healing of abdominal incision,promote the recovery of postpartum women.
作者
林兴兰
LIN Xinglan(Department of Obstetrics and Gynecology,Jinzhai County Maternal and Child Health Hospital,Anhui Province,Jinzhai 237300,China)
出处
《妇儿健康导刊》
2023年第23期98-100,共3页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
剖宫产术后
腹部切口
愈合不良
危险因素
After cesarean section
Abdominal incision
Poor healing
Risk factor
