剖宫产术后切口愈合不良危险因素调查  

CESAREAN SECTION RISK FACTORS FOR POOR WOUND HEALING RESEARCH

作　　者：张洪星[1] 郭文玲[1] 李宁[1] 

机构地区：[1]山东省滨州市中心医院产科,滨州251700

出　　处：《现代预防医学》2012年第4期846-847,849,共3页Modern Preventive Medicine

摘　　要：[目的]分析剖宫产术后切口愈合不良的危险因素,总结护理措施,以提高剖宫产患者切口愈合的质量。[方法]采用病例对照的研究方法,对某院110例行剖宫产术后伤口愈合不良患者的临床资料进行回顾性分析,与同时期剖宫产术后愈合良好组在有关不良危险因素方面进行比较分析,提出合理的护理措施。[结果]110例剖宫产患者伤口轻度愈合不良者72例(65.45%),中度25例(22.73%),重度13例(11.82%);与对照组比较发现,影响切口愈合的危险因素为:BMI高、基础疾病、术前未预防应用抗生素、无菌操作不严格、手术时间长。[结论]多种危险因素影响切口的愈合。提高认识,正确指导孕期保健,做好产前检查、围术期给予药物进行预防、控制病房内细菌的数量,积极采取应对护理措施,以提高切口愈合质量。[Objective]To analyze the risk factors of poor wound healing during cesarean section,and summary care measures to improve the quality of wound healing in patients with cesarean section.[Methods]A case-control study of 110 hospital routine cesarean section wound healing in patients with clinical data were retrospectively analyzed,and compared the risk factors with the same period a good set of healing after cesarean section to propose effective preventive measures.[Results]Among 110 cases of cesarean section,72 patients had mild wound healing（65.45%）,25 cases had moderate wound healing（22.73%）,13 cases had severe wound healing（11.82%）.Compared with the control group,we found that the impact of risk factors for wound healing,inclding higher BMI,underlying disease,preoperative antibiotic prophylaxis,non-strict aseptic and long time surgery.[Conclusion]Multiple risk factors affect wound healing,awareness,proper guidance to prenatal care,good prenatal care,preoperative administration of drugs for the prevention,control the number of bacteria within ward,take active care measures to improve the quality of wound healing.

关 键 词：切口愈合不良 剖宫产 危险因素 病例对照研究 预防措施 

分 类 号：R719.8[医药卫生—妇产科学]