摘要
目的探讨分析医院剖宫产术后感染的因素。方法选取2007年1月-2011年5月在医院进行剖宫产并发生感染的56例产妇为研究对象,将其根据手术时间、住院时间、产程、是否伴有基础疾病、侵入性检查次数、胎膜早破、失血量及是否预防性应用抗菌药物等因素进行统计及分析。结果手术时间≥1h者占73.21%,感染发生率高于<1h者的26.79%,住院时间≥7d者占71.43%,高于<7d者的28.57%,产程≥12h者占69.64%,感染发生率高于<12h者的30.36%,伴有基础性疾病占75.00%,高于未伴有基础性疾病的25.00%,侵入性操作次数≥3次者占80.36%,高于<3次者的19.64%,胎膜早破者占78.57%,高于未发生胎膜早破者的21.43%,失血量≥500ml者占75.00%,高于<500ml者的25.00%,术前未预防性应用抗菌药物者占67.85%,高于应用者的32.14%,差异均有统计学意义(均P<0.05)。结论剖宫产术后感染的发生与手术时间、住院时间、产程长短、基础疾病、侵入性检查、胎膜早破、失血量及预防性应用抗菌药物等因素相关,应引起重视。
OBJECTIVE To explore the factors that hospital infection after cesarean section.METHODS A total of 56 cases of maternal infection after production and cesarean section in our hospital from Jan 2007 to May 2011 were selected as the research object.Analysis and statistics of operation time,hospital stay,length of labor,associated with underlying diseases,invasive inspection frequency,premature rupture of membranes,blood loss and preventive use of antibiotics and other factors was performed.RESULTS The operative time ≥1h persons（73.21%） infection rate in the 1h persons（26.79%）,hospital stay ≥7d（71.43%） were higher than the 7d persons（28.57%）,those who labor ≥12h（69.64%） infection rate in the 12h persons（30.36%）,accompanied by the basic disease（75.00%） higher than that associated with the basic disease（25.00%）,the number of invasive procedures ≥3 times were（80.36%） higher than that of 3 times（19.64%）,PROM（78.57%） than in those without rupture of membranes occurred（21.43%）,blood loss ≥500ml persons（75.00%） than 500ml those（25.00%）,preoperative prophylactic antibiotics（67.85%） than those applied to（32.14%）（P〈0.05）.There was significant difference.CONCLUSION The incidence of hospital infection after cesarean section has some relevance with operative time,hospital stay,length of labor,associated with underlying diseases,invasive inspection frequency,premature rupture of membranes,blood loss,and whether prophylactic antibiotics and other factors,and we should pay attention to them.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第18期3870-3871,共2页
Chinese Journal of Nosocomiology
关键词
剖宫产
术后感染
因素
Cesarean section
Postoperative infection
Factors
