CAJ | 학술논문

目的：探讨会阴侧切分娩产妇感染的相关影响因素，并总结护理干预措施。方法选择2008年3月至2013年3月在我院产科行会阴侧切分娩感染的75例产妇作为观察组，以同期行会阴侧切分娩无感染的75例产妇作为对照组，总结会阴侧切分娩产妇感染的相关危险因素与护理措施。结果产妇肥胖、伴随基础疾病以及入院前有感染等为产妇一般因素；经产妇、胎膜早破、产程延长等为产妇特有因素；阴道检查次数高于2次、导尿高于2次、肛查高于3次以及术前使用抗生素等为产妇检查治疗相关因素，观察组与对照组产妇差异具有明显统计学意义（ P＜0.05）。结论会阴侧切术后感染是由多种因素综合作用引起，及时针对其相关危险因素进行相应的护理干预，可在一定程度上降低会阴侧切感染的发生率。
목적：탐토회음측절분면산부감염적상관영향인소，병총결호리간예조시。방법선택2008년3월지2013년3월재아원산과행회음측절분면감염적75례산부작위관찰조，이동기행회음측절분면무감염적75례산부작위대조조，총결회음측절분면산부감염적상관위험인소여호리조시。결과산부비반、반수기출질병이급입원전유감염등위산부일반인소；경산부、태막조파、산정연장등위산부특유인소；음도검사차수고우2차、도뇨고우2차、항사고우3차이급술전사용항생소등위산부검사치료상관인소，관찰조여대조조산부차이구유명현통계학의의（ P＜0.05）。결론회음측절술후감염시유다충인소종합작용인기，급시침대기상관위험인소진행상응적호리간예，가재일정정도상강저회음측절감염적발생솔。
Objective To investigate the related factors of maternal infection for lateral episiotomy and summarize care interven -tions measures.Methods A total of 75 cases with maternal infection were taken as the observation group and 75 cases without maternal in-fection as control group , and summed up the related factors of maternal infection for lateral episiotomy and summarize care interven -tions.Results Maternal obesity, along with the underlying disease and infection before admission , maternal, premature rupture of mem-branes, prolonged labor , the number of vaginal examinations more than 2 times, catheterization, rectal examination more than 3 times and other relevant factors , there was significant difference between observation group and control group statistically ( P<0.05 ) .Conclusions Postoperative infection episiotomy is caused by many factors;timely appropriate nursing interventions can reduce the incidence of infection e -pisiotomy.