CAJ | 학술논문

目的：分析剖宫产术后不同部位感染的术前、术中及术后的影响因素。方法：回顾性分析行剖宫产手术975例的临床资料。其中以剖宫产术后发生感染的产妇58例为观察组，随机选择未出现感染的产妇72例为病例对照组。分析不同部位感染的相关危险因素。结果：单因素分析提示肥胖、有多次流产史、术前多次导尿、肛门及阴道检查、术前未预防性使用抗生素、术前血红蛋白低、胎膜早破、手术时间长、术中出血多的例数或比例在观察组中明显多于对照组（P＜0.05）。结论：肥胖、有多次流产史、术前多次尿道、肛门及阴道检查、术前预防性使用抗生素、术前血红蛋白、胎膜早破、手术时间、术中出血等因素为患者术后感染的相关危险因素。
목적：분석부궁산술후불동부위감염적술전、술중급술후적영향인소。방법：회고성분석행부궁산수술975례적림상자료。기중이부궁산술후발생감염적산부58례위관찰조，수궤선택미출현감염적산부72례위병례대조조。분석불동부위감염적상관위험인소。결과：단인소분석제시비반、유다차유산사、술전다차도뇨、항문급음도검사、술전미예방성사용항생소、술전혈홍단백저、태막조파、수술시간장、술중출혈다적례수혹비례재관찰조중명현다우대조조（P＜0.05）。결론：비반、유다차유산사、술전다차뇨도、항문급음도검사、술전예방성사용항생소、술전혈홍단백、태막조파、수술시간、술중출혈등인소위환자술후감염적상관위험인소。
Objective To analyze the preoperative,intraoperative and postoperative factors for a surgical site infection after a cesarean section. Methods A retrospective survey of 975 women who underwent a cesarean section was conducted.The rate of surgical site infection was estimated and a nested case control study was then carried out to identify the risk factors.58 cases of maternal infection after a cesarean section were defined as observation group,at the same time 72 maternity patients were randomly selected from the rest women without infection,these cases were defined as control group,then we analyze the related risk factors for a surgical site infection.Results Single factor analysis indicated that the rate and proportion of women with obesity,history of miscarriages,excessive preoperative catheterization,anal and vaginal examination,a lack of preoperative prophylactic antibiotics,low preoperative hemoglobin,premature rupture of membranes,long operation time,more intraoperative bleeding in the observation group were lower than that in the control group(P<0.05).Conclusion Obesity,history of miscarriages,excessive preoperative catheterization,anal and vaginal examination,lack of prophylactic antibiotics,premature rupture of membranes,lower preoperative hemoglobin,prolonged surgery,volume of intraoperative bleeding during hospitalization are considered to be related risk factors for a surgical site infection after a cesarean section.