剖宫产术切口感染危险因素的调查与对策

目的调查引起剖宫产切口感染的危险因素及预防对策。方法调查2004年1月～2008年12月本院所有剖宫产产妇1680例的临床资料，将发生切口感染的产妇作为观察组，无切17感染的产妇作为对照组，对两组孕妇相关资料等进行回顾性分析比较。结果1680例剖宫产产妇中发生切口感染40例，切口感染率2．38％（40／1680）。与对照组比较观察组孕妇BMI高、产科干预多、腹部手术比例高、手术时间长、白细胞总数多、主刀工作年资低（P〈0．05）。结论剖宫产术切口感染的发生率较高，存在于整个围手术期，是多环节综合因素影响的结果。应指导孕妇控制BMI在合理范围内，避免不必要的阴查和肛诊．有腹部手术史切口位置要正确，缩短手术时间，合理预防性应用抗生素，提高手术技巧。

Investigation on Risk Factors with Incision Infection of Cesarean Section and Countermeasure

Objective To investigate the risk factors which caused the incision infection of cesarean section and preventive measures. Methods The clinical data of 1 680 parturients with caesarean section from January 2004 to December 2008 in our hospital were investigated, who were divided into observation group （parturients with incision infection） and the control group （partufients without incision infection） to retrospectively analyze and compare the relevant actors between the two groups. Results In 1680 eases of parturients who underwent caesarean section, 40 cases occurred the incision infection with the rate of incision infection of 2.38%. Compared with the control group, BMI of pregnant women in the observation group was higher, obstetric interventions were more, the proportion of abdominal surgery was higher, the time of surgery were longer, the total number of white blood cells was more, the surgeon was of junior working experience（P 〈0.05）. Conclusion The incidence rate of incision infection with cesarean section was higher, which was the results of multi-link combina- tion factors affected in the entire perioperative period. Pregnant women should be guided to control BMI within reasonable limits, to avoid unnecessary vaginal examination and anal diagnosis; incision location with a history of abdominal surgery should be correct, shorten the operative time, reasonablely and prophylacticly use antibiotics for improving surgical skills.