CAJ | 학술논문

目的：探讨剖宫产切口感染的高危因素，为其寻找最佳的预防措施和方法。方法采用回顾性调查方法，调查剖宫产术后切口感染的产妇以及可能与感染相关的危险因素。结果在14个影响因素中，肥胖（ BMI）、手术中出血量过多，手术时间过长，糖尿病，胎膜早破等10项为高危因素（ P ＜0.05）。产妇年龄，人工流产史，社会因素等4项差异无统计学意义（ P ＞0.05）。结论通过病例对照多因素Logistic逐步回归分析剖宫产切口感染的高危因素有：体重指数（BMI），手术时间过长，麻醉方式（全麻或静脉麻醉），糖尿病，手术中出血量。
목적：탐토부궁산절구감염적고위인소，위기심조최가적예방조시화방법。방법채용회고성조사방법，조사부궁산술후절구감염적산부이급가능여감염상관적위험인소。결과재14개영향인소중，비반（ BMI）、수술중출혈량과다，수술시간과장，당뇨병，태막조파등10항위고위인소（ P ＜0.05）。산부년령，인공유산사，사회인소등4항차이무통계학의의（ P ＞0.05）。결론통과병례대조다인소Logistic축보회귀분석부궁산절구감염적고위인소유：체중지수（BMI），수술시간과장，마취방식（전마혹정맥마취），당뇨병，수술중출혈량。
Objective To explore the high-risk factors of infection of incisional wound after cesare-an section.Methods We retrospectively reviewed cesarean section cases with infection of incisional wound and evaluated the high-risk factors.Results Totally ten factors were identified as the high-risk factors ( P<0.05)such as obesity(BMI),more amount of bleeding, prolonged operative time, sugar diabetes, rupture of fetal membranes, etc.The four factors such as age, history of induced abortion ,social factor were not shown to be significant high-risk factors( P >0.05).Conclusion The high risk factors of incision infec-tion in cases with cesarean section include BMI , prolonged operative time , kinds of anesthesia , sugar diabe-tes and more amount of bleeding .