摘要
目的研究分析剖宫产术后腹部切口愈合不良的危险因素分析。方法选取乌鲁木齐市米东区中医医院2012年11月-2015年4月收治的行剖宫产术分娩的产妇为6382例,其中切口愈合不良产妇30例,将其设定为研究组;同时选取同期在该院行剖宫产术分娩的切口愈合良好产妇30例,将其设定为对照组。对比分析两组产妇切口愈合情况相关临床指标。结果两组产妇年龄、孕周、住院天数相比,差异无统计学意义(P>0.05);研究组中体重指数(BMI)、手术时间、出血量、基础疾病、抗生素使用、无菌操作、胎膜早破、妊娠期糖尿病与对照组相比,差异均有统计学意义(P<0.05)。经单因素分析,BMI、手术时间、出血量、基础疾病、抗生素使用、无菌操作、胎膜早破、妊娠期糖尿病为剖宫产术切口愈合不良的直接影响因素。经多因素Logistic回归分析,其中抗生素使用、无菌操作是剖宫产术切口愈合不良的保护因素,BMI、手术时间、出血量、基础疾病、胎膜早破、妊娠期糖尿病为剖宫产术切口愈合不良的危险因素。结论通过研究产妇切口愈合不良的临床症状表现及原因,明确愈合不良的高危因素,从而在加强孕前期保健,对异常产程情况积极处理,由经验丰富的医师手术分娩,并注意抗生素药物的合理使用,从而降低剖宫产切口愈合不良,提高产妇的预后质量。
Objective To analyze the risk factors for abdominal surgical wound bad healing after cesarean section. Methods 6382 puerperae received cesarean delivery in our hospital from November 2012 to April 2015. 30 of them suffered from surgical wound bad healing, and they were set as the observation group. While 30 puerperae received cesarean delivery at the corresponding period with surgical wound good healing were set as the control group. The related indicators of surgical wound healing were compared between the two groups. Results The ages, gestational ages, lengths of hospital stay were compared between the two groups, and the difference was of no statistical significance （ P 〉 O. 05 ）. The Body Mass Index, operation time, amount of bleeding, underlying disease, use of antibiotic, aseptic operating, premature rupture of membranes and Gestational Diabetes of the observation group were compared with those of the control group, and the differences of both indicators were of statistical significance （ P 〈 0.05 ）. After univariate analysis, it was found that the Body Mass Index, operation time, amount of bleeding, underlying disease, use of antibiotic, aseptic operating, premature rupture of membranes and Gestational Diabetes were the direct factors for surgical wound bad healing after cesarean section. After multivariate logistic regression analysis, it was found that the use of antibiotic, aseptic operating were protective factors of surgical wound bad healing after cesarean section, but the Body Mass Index, operation time, amount of bleeding, underlying disease, premature rupture of membranes and Gestational Diabetes were risk factors of surgical wound bad healing after cesarean section. Conclusion By the investigation of clinical symptom and factors for surgical wound bad healing of puerperae, this study revealed the high-risk factors of surgical wound bad healing. It is found that by increasing preconception health care, taking active measure for abnormal labor conditions, receiving operative delivery fr
出处
《中国妇幼卫生杂志》
2016年第5期40-43,共4页
Chinese Journal of Women and Children Health
关键词
剖宫产
切口愈合不良
危险因素
临床特征
cesarean section
surgical wound bad healing
risk factors
clinical features
