剖宫产术后切口脂肪液化危险因素Logistic回归分析  

Logistic regression analysis of risk factors for incision fat liquefaction after cesarean section

作　　者：朱艳霞 钟雄东 ZHU Yanxia;ZHONG Xiongdong(Department of Obstetrics and Gynecology,Pangang Xichang Hospital,Xichang 615000,China;Department of General Surgery,Zhuhai People's Hospital,Zhuhai 519000,China)

机构地区：[1]攀钢西昌医院妇产科,西昌615000 [2]珠海市人民医院普通外科,珠海519000

出　　处：《广州医药》2020年第3期102-106,共5页Guangzhou Medical Journal

摘　　要：目的回顾分析我医院近9年产妇行剖宫产术治疗的患者的住院病历资料,探索术后出现切口脂肪液化的危险因素。方法选取我医院2011年1月—2019年8月期间行剖宫产术治疗的产妇患者1018例,分成术后切口脂肪液化组和甲级愈合组,比较2组间的差异,分析其相关危险因素。结果1018例产妇患者中出现切口脂肪液化的为34例,发生率为3.34%(34/1018);单因素分析结果显示,糖尿病、体质指数超重、7 cm以上切口长度是术后出现切口脂肪液化的相关因素,差异有统计学意义;多因素Logistic回归分析结果显示,糖尿病、体质指数超重、7 cm以上切口长度是术后出现切口脂肪液化的独立危险因素。结论产妇患者行剖宫产术治疗出现切口脂肪液化率较高;围手术期控制患者血糖,以及孕期控制体质指数、缩小剖宫产手术切口长度可能有效地减少切口脂肪液化发生率。Objective To retrospectively analyze the medical records of patients undergoing cesarean section in our hospital in recent 9 years,and explore the risk factors of incision fat liquefaction after operation.Methods 1018 patients undergoing cesarean section in our hospital from January 2011 to August 2019 were divided into two groups:incision fat liquefaction group and grade A healing group.The differences between the two groups were compared and the risk factors were analyzed.Results Among 1018 parturients,34 had incision fat liquefaction,and the incidence was 3.34%(34/1018).Univariate analysis showed that diabetes mellitus,overweight body mass index and incision length of more than 7 cm were risk factors for incision fat liquefaction after operation,and the difference was statistically significant.Multivariate logistic regression analysis showed that diabetes mellitus,overweight body mass index and incision length over 7 cm were independent risk factors for incision fat liquefaction.Conclusion The incision fat liquefaction rate is higher in patients undergoing cesarean section.Controlling blood sugar level,body mass index during pregnancy and shortening the length of incision during perioperative period may effectively reduce the incidence of incision fat liquefaction.

关 键 词：剖宫产 脂肪液化 危险因素 LOGISTIC回归分析 甲级愈合 

分 类 号：R719.8[医药卫生—妇产科学]