CAJ | 학술논문

　　目的探讨剖宫产术后腹部切口脂肪液化的危险因素，为预防和治疗提供参考。方法采用前瞻性方法分析2011年8月1日-2013年2月1日在我院剖宫产分娩的725例产妇术后腹部切口愈合情况及其相关因素，对单因素分析有统计学意义的变量用Logistic逐步回归进行多因素分析，筛选影响切口脂肪液化的危险因素。结果725例剖宫产术后患者中有40例发生脂肪液化，发生率为5.52%。单因素分析显示腹壁切口脂肪厚度、糖尿病、贫血与切口脂肪液化有关(P <0.05)，多因素Logistic回归分析表明腹壁切口脂肪厚度、糖尿病、贫血是切口脂肪液化的危险因素(P <0.05)。结论腹壁切口脂肪厚度、糖尿病、贫血是影响剖宫产术后切口脂肪液化的危险因素。对这些危险因素加以重点评估和合理控制，可以减少剖宫产术后切口脂肪液化的发生。
　　목적탐토부궁산술후복부절구지방액화적위험인소，위예방화치료제공삼고。방법채용전첨성방법분석2011년8월1일-2013년2월1일재아원부궁산분면적725례산부술후복부절구유합정황급기상관인소，대단인소분석유통계학의의적변량용Logistic축보회귀진행다인소분석，사선영향절구지방액화적위험인소。결과725례부궁산술후환자중유40례발생지방액화，발생솔위5.52%。단인소분석현시복벽절구지방후도、당뇨병、빈혈여절구지방액화유관(P <0.05)，다인소Logistic회귀분석표명복벽절구지방후도、당뇨병、빈혈시절구지방액화적위험인소(P <0.05)。결론복벽절구지방후도、당뇨병、빈혈시영향부궁산술후절구지방액화적위험인소。대저사위험인소가이중점평고화합리공제，가이감소부궁산술후절구지방액화적발생。
Objective To identify risk factors for post-cesarean wound disruption, and to provide the reference for prevention and treatment of post-cesarean wound disruption. Methods This was a randomized prospective trial. From August 1, 2011, to February 1, 2013, 725 women who underwent cesarean delivery in beijng fengtai hospital were assigned. Analysis was conducted about Risk factors for post-cesarean wound disruption. Student t, χ2 and logistic regression were used for statistical analysis. Results Approximately 5.52% of women who have a cesarean delivery in our hospital will have a wound disruption. In unadjusted analysis, wound disruption was significantly higher in patients who were subcutaneous tissue >3cm in thickness, diabetes mellitus, anemia. Adjusted analysis subcutaneous tissue >3cm in thickness, diabetes mellitus, anemia were significant risk factors for wound disruption. Conclusions Subcutaneous tissue >3cm in thickness, diabetes mellitus, anemia were significant risk factors for wound disruption, assessing and controlling these risk factors can reduce the incidence of post-cesarean wound disruption.