产科腹部切口感染的危险因素分析及预防性护理.docVIP

产科腹部切口感染的危险因素分析及预防性护理 　　[摘要] 目的 探讨临床上产科腹部手术切口感染的危险因素，并制订针对性的预防性护理对策，降低切口感染。 方法 回顾性分析2011年1月～2012年12月自贡市第一人民医院院感科120例剖宫产产妇的临床资料，根据术后是否发生切口感染将其分为研究组（切口感染）42例和对照组（未发生切口感染）78例，对可能影响切口感染的因素进行分析，并制订具有针对性的护理控制措施。 结果 42例出现切口感染，感染率为35.0%。两组患者的体重指数（BMI）、检查次数、手术时间、备皮到手术时间、血红蛋白、胎膜早破、夏季手术、多人病房和抗生素使用情况比较，差异均有统计学意义（均P 0.05）； BMI、夏季手术、使用抗生素和胎膜早破以及手术时间均是影响产科中腹部手术切口感染的危险因素。 结论 产科中术后切口感染具有较高的发病率，危险因素也比较多，临床中应加强针对性的预防护理措施，从而减少切口感染发生。 　　[关键词] 产科；切口感染；危险因素；护理对策 　　[中图分类号] R63 [文献标识码] C [文章编号] 1673-7210（2014）01（b）-0135-03 　　Risk factors and preventive care of obstetric abdominal incision infection 　　LIU Lanying1 ZOU Xianghui1 ZHONG Min1 YE Caimei2 　　1.Department of Infection-Control， the First Peoples Hospital of Zigong City， Sichuan Province， Zigong 643000， China； 2.The Fourth Department of Obstetrical， Obstetrics and Gynecology Hospital Affiliated to School of Medicine of Zhejiang University， Zhejiang Province， Hangzhou 310006， China 　　[Abstract] Objective To investigate the risk factors of obstetric abdominal incision infection in clinical， and to formulate targeted preventive care measures to reduce wound infection. Methods Clinical data of 120 puerperas with caesarean section from January 2011 to December 2012 in Infection Division of the First Peoples Hospital of Zigong City were retrospective analyzed， and they were divided into study group with 42 cases （wound infection） and control group with 78 cases （no wound infection） according to the status of incision infection postoperative. The factors of wound infection were analyzed， and targeted control measures were formulated. Results A total of 42 cases were wound infection with the rate of 35.0%， the body mass index， number of checks， operative time， skin preparation to operative time， hemoglobin， premature rupture of membranes， summer surgery， multiplayer wards and the using of a antibiotics in the two groups were found had statistically significant differences （all P 0.05）； using of antibiotics， premature rupture of m