摘要
目的探讨导致会阴侧切术切口感染危险因素及预防措施。方法回顾性分析1850例产妇临床资料,比较切口感染与年龄、基础疾病、阴道检查次数、产程、体质指数、分娩情况、切开时机、手术者工作时间、预防应用抗菌药物等相关性。结果会阴侧切产妇1850例合并切口感染50例占2.70%,影响切口感染的危险因素:年龄≥35岁、合并基础疾病、阴道检查≥3次、产程≥10h、体质指数>24.0、急诊分娩、切开时机过早或过晚、术者工作时间短差异有统计学意义(P<0.05);与预防应用抗菌药物差异无统计学意义。结论导致会阴侧切术切口感染危险因素复杂,应针对危险因素实施相应的措施减少或避免切口感染的发生,避免高龄妊娠,产前积极治疗合并症,产程减少不必要阴道检查,防止滞产,孕期营养指导将体质指数控制在合理范围内,避免急诊分娩,控制预防性全身应用抗菌药物,选择适当切开时机,提高缝合技术。
OBJECTIVE To discuss the risk factors and prevention measures for the incision infections caused by episiotomy. METHODS The clinical data of 1850 pregnant women were analyzed retrospectively, the correlation between the incision infections and age, underlying disease, frequency of vaginal examination, body mass index, delivery, incision timing, operation duration, and prophylactic use of antibiotics was compared. RESULTS Of 1850 pregnant women undergoing the episiotomy, the incision infections occurred in 50 cases （2.70%） . More than 35 years of age, underlying diseases, more than three times of vaginal examinations, stage of labor more than 10 hours, body mass index more than 24. 0, emergency labor, inappropriate incision timing, and short operation duration were the risk factors that may cause the incision infections, the differences were statistically significant （P〈0.05） , and there was no statistical difference between the incision infections and the prophylactic use of antibiotics. CONCLUSION The risk factors are so complicated to cause the perineal incision infections that it is necessary to take corresponding measures to reduce the incidence of incision infections, avoid the old age pregnancy, treat the complications actively before the delivery, not carry out the vaginal examination when the labor stage was shortened, prevent prolonged labor, control the body mass index in a reasonable range under the guidance of pregnancy nutrition, avoid the emergency delivery, control the prophylactic systemic use of antibiotics, select the appropriate opportunity for incision, and improve the suture technique.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第2期374-376,共3页
Chinese Journal of Nosocomiology
关键词
会阴侧切术
切口感染
对策
Episiotomy
Incision infection
Countermeasure
作者简介
通讯作者：应翡蓉，E-mail：ntkfcjr@yahoo．com．cn
