摘要
目的对不同麻醉方式下急诊剖宫产术后感染的相关性进行比较,分析腰硬联合麻醉应用于急诊剖宫产时发生术后感染的相关危险因素,以降低术后感染率。方法选取2009年8月-2012年8月应用腰硬联合麻醉行急诊剖宫产并发术后感染患者48例,并选择同期采用硬膜外阻滞和全身麻醉并发术后感染的患者各26例作为对照,对可能导致术后感染的因素进行分析和比较。结果腰硬联合麻醉组产妇术后感染率为10.4%,低于硬膜外阻滞组的11.7%和全麻组的13.5%;在合并基础疾病和体重指数≥25腰硬联合麻醉组术后感染率分别为66.7%、58.3%,明显低于硬膜外阻滞组的80.8%、73.1%和全麻组的80.8%、73.1%;侵入性操作≥3次腰硬联合组术后感染率75.0%,明显低于全麻组的88.5%,差异均有统计学意义(P<0.05)。结论腰硬联合麻醉应用于急诊剖宫产产妇术后感染的发生率低于硬膜外阻滞和全身麻醉。
OBJECTIVE To compare the incidence of postoperative infections in the patients undergoing emergency cesarean section under different anesthesia approaches and analyze the risk factors of the postoperative infections as the spinal anesthesia combined with epidural anesthesia （CSEA） was applied in the emergency cesarean section so as to reduce the incidence of postoperative infections. METHODS A total of 48 cases of patients with postoperative infections, who underwent the emergency cesarean section under the spinal anesthesia combined with epidural anesthesia from Aug 209 to Aug 2012, were enrolled in the study, and at the same period totally 26 cases of patients who underwent the surgery under the epidural block and general anesthesia were selected as the control group. The risk factors of the postoperative infections were analyzed and compared. RESULTS The infection rate of CSEA was 10.4%, lower than 11.7% of the epidural block group and 13.5% of the general anesthesia group. In the CSEA group, the incidence rate of the postoperative infections in the patients complicated with the underly- ing disease was 66.7%, the patients with the body mass index more than 25 58.3%, significantly lower than 80. 8% and 73.1% of the epidural block group and 80.8% and 73.1% of the general anesthesia group. In the CSEA group, the incidence rate of the postoperative infections in the pregnant women with the frequency of invasive op- eration more than three times was 75.0%, significantly lower than 88.5 % of the general anesthesia group, the difference was statistically significant （P〈0.05）. CONCLUSION The incidence rate of the infections after emer- gency cesarean section is lower under the CSEA than under the epidural block or the general anesthesia.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第7期1593-1594,共2页
Chinese Journal of Nosocomiology
关键词
急诊剖宫产
腰硬联合麻醉
术后感染
相关危险因素
Emergency cesarean section
Spinal anesthesia combined with epidural anesthesia
Postoperativeinfection
Related risk factor
