剖宫产切口愈合不良危险因素分析及预防  

Analysis and Prevention of the Risk Factors which Can Cause Poor Wound Healing after Cesarean Section

作　　者：朱洁[1] 

机构地区：[1]郑州市中心医院妇产科,河南郑州450000

出　　处：《中国医药指南》2011年第19期29-30,共2页Guide of China Medicine

摘　　要：目的探讨引起剖宫产术后切口愈合不良的危险因素,预防减少发生。方法回顾性分析2650例产妇的临床资料,以引起切口愈合不良危险因素为观察组,同期无危险因素为对照组,对可能影响切口愈合不良危险因素进行分析。结果切口愈合不良与多种危险因素有关,其中单危险因素包括:产妇体质量指数高,妊娠合并基础性疾病(高血压、糖尿病、贫血、低蛋白血症等),胎膜早破,生殖道感染,产程延长,阴道及肛查次数多等疾病。结论降低单危险因素,合理应用抗生素是预防切口愈合不良的重要措施。Objective To explore the risk factors which can cause poor wound healing after cesarean section,and prevent and reduce the incidence.Methods Retrospective analysis of 2907 cases of maternal hospital clinical information to the risk factors causing poor wound healing observation group,compared to the control group without risk factors,the risk factors may affect poor wound healing were analyzed.Results Poor wound healing are related to multiple risk factors： single-risk factors,including： high maternal body mass index,pregnancy with basic diseases（hypertension,diabetes,anemia,hypoalbuminemia,etc.）,premature rupture of membranes,reproductive tract infections,prolonged labor,vaginal and anal diseases investigated more.Conclusion Reducing the single risk factors and rational use of antibiotics is an important measure to prevent wound healing.

关 键 词：剖宫产 切口愈合不良 危险因素 预防措施 

分 类 号：R719.8[医药卫生—妇产科学]