剖宫产手术后切口愈合不良多因素分析  

Risk factors for the poor wound healing after cesarean section

作　　者：魏凌云[1] 赵一俏[1] 何萍[1] 谭红玉[1] 

机构地区：[1]广东省妇幼保健院,广东广州510010

出　　处：《中国感染控制杂志》2004年第2期122-124,共3页Chinese Journal of Infection Control

摘　　要：目的　探讨剖宫产术后切口愈合不良的危险因素。方法　采用前瞻性监测的方法 ,用预制的调查表收集 2 0 0 2年度剖宫产病例相关危险因素的资料 ,并对资料进行单因素分析与BinaryLogistic回归分析。 结果　 1 0 2 6例剖宫产病例中有 37(3.6 1 % )例发生切口愈合不良。单因素分析发现产妇皮下组织的厚度、手术持续的时间、急诊剖宫产、手术医师的职称、术前存在糖尿病等基础疾病、术中出血量、羊膜腔感染等因素与剖宫产术后切口愈合不良有关 ;Logistic回归分析确定切口皮下组织的厚度、手术时间、基础疾病、羊膜腔感染为切口愈合不良的相关危险因素。结论　应对高危人群采取更严格的预防措施 。Objective To evaluate risk factors for poor wound healing after cesarean section. Methods Questionnaires of risk factors for the poor wound healing after cesarean section in 2002 were collected, data were analysed by single factor analysis and multiple logistic regression analysis. Results Poor wound healing occurred in 37 of 1 026 women ( 3.61% ) who delivered by cesarean section, single factor analysis showed that the poor wound healing was related to some factors, such as the obesity, duration of operation, emergent cesarean section, surgeons' titles, patients' underlying diseases, surgical blood loss and chorioamnionitis. Multiple logistic regression analysis confirmed that obesity, duration of operation, underlying diseases, chorioamnionitis were risk factors. Conclusion Strict measures should be taken for the high risk people to reduce the incidence of poor wound healing after cesarean section.

关 键 词：剖宫产 手术 危险因素 预防措施 伤口愈合 

分 类 号：R719.8[医药卫生—妇产科学]