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目的研究二次剖宫产手术后切口感染及其危险因素。方法通过回顾性调查方法,对某医院第二胎产妇行剖宫产手术切口感染情况及其危险因素进行调查与分析。结果该医院在调查期间共实施初产剖宫产手术2706例,发生术后切口感染61例,感染率为2.25%;行第二胎剖宫产手术1 042例,发生术后切口感染54例,感染率为5.18%,后者感染率明显高于前者。多因素分析显示,肥胖、手术持续时间长、合并生殖道炎症、胎膜早破、血红蛋白偏低和阴检肛查>3次等因素是导致二胎剖宫产术后切口感染的独立危险因素。结论二胎剖宫产术后切口感染发生率高于一胎剖宫产,产妇体质和围产期医疗操作等构成主要危险因素。
Objective To study incision infection after cesarean section and its risk factors. Methods A retrospective investigation was conducted to investigate and analyze the infection status and risk factors of cesarean section incision in the second maternal hospital of a hospital. Results During the investigation, 2706 cases of primiparous cesarean section were performed in this hospital. There were 61 incisional wound infections after infection, with an infection rate of 2.25%. A total of 1,042 cesarean sections were performed in the hospital with 54 cases of postoperative incision infection , The infection rate was 5.18%, the latter infection rate was significantly higher than the former. Multivariate analysis showed that obesity, long duration of surgery, combined with genital tract inflammation, premature rupture of membranes, hemoglobin low and anal examination of anal> 3 times and other factors lead to second cesarean section incision infection independent risk factors . Conclusion The incidence of incision infection after second cesarean section is higher than that of one cesarean section. Maternal physical condition and perinatal medical operation constitute the main risk factors.