剖宫产术后感染的相关危险因素  

Risk factors of postoperative infection after cesarean section

作　　者：梁春梅 陈凯[2] 潘俊敏 罗桂梅 LIANG Chun-mei;CHEN Kai;PAN Jun-min;LUO Gui-mei(Department of Obstetrics and Gynecology,Maternal and Child Health Hospital of Yuzhou District,Yulin Guangxi 537000,China;Department of Obstetrics and Gynecology,People's Hospital of Laiwu City,Laiwu Shandong 271100,China)

机构地区：[1]广西玉州区妇幼保健院妇产科,广西玉林537000 [2]莱芜市人民医院妇产科,山东莱芜271100

出　　处：《局解手术学杂志》2018年第12期913-916,共4页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的分析剖宫产术后感染的相关危险因素,为临床预防术后感染提供指导。方法回顾性分析广西玉州区妇幼保健院妇产科2016年7月至2016年12月行剖宫产手术892例患者的临床资料,分析剖宫产术后感染发生情况并采用Logistic回归分析相关危险因素。结果剖宫产术后感染发生率为5. 83%,多因素Logistic回归分析提示,肥胖(OR=3. 96; 95%CI=1. 53～10. 21)、第二产程剖宫产(OR=3. 24; 95%CI=1. 21～8. 68)、妊娠期高血压(OR=4. 64; 95%CI=1. 77～12. 18)、贫血或低蛋白(OR=3. 47; 95%CI=1. 29～9. 38)及妊娠期糖尿病(OR=11. 89; 95%CI=5. 18～27. 29)是发生术后感染的危险因素。结论肥胖、妊娠期高血压、妊娠期糖尿病、第二产程剖宫产和贫血低蛋白血症是剖宫产术后感染发生的高危因素,临床工作中实施积极干预有助于减少感染,促进产妇顺利康复。Objective To explore the risk factors of postoperative infection after cesarean section,and to provide guidance for clinical prevention of postoperative infection.Methods Totally892patients who underwent cesarean section in maternal and child health hospital of Yuzhou district from July2016to December2016were selected,and the clinical data of these patients were retrospectively analyzed.The rate of postoperative infection was calculated and logistic regression was performed to analyze the related factors.Results The results showed that the postoperative infection rate was5.83%.And logical regression analysis demonstrated that obesity(OR=3.96;95%CI=1.53~10.21),cesarean section of second stage of labour(OR=3.24;95%CI=1.21~8.68),hypertensive disorder complicating pregnancy(OR=4.64;95%CI=1.77~12.18),hypohemia and hypoproteinemia(OR=3.47;95%CI=1.29~9.38),and gestational diabetes mellitus(OR=11.89;95%CI=5.18~27.29)were significantly related to postoperative infection.Conclusion Our data indicated that,obesity,cesareansection of second stage of labour,hypertensive disorder complicating pregnancy,hypohemia and hypoproteinemia,and gestational diabetes mellitus were all risk factors for postoperative infection after cesarean section.Effective intervention is useful to promote recovery and reduce the complications of infection.

关 键 词：剖宫产 术后感染 危险因素 妊娠期糖尿病 肥胖 

分 类 号：R714.62[医药卫生—妇产科学]