CAJ | 학술논문

目的：探讨剖宫产患者术中使用可溶性止血纱布对术后盆腔感染的影响。方法采用临床随访及回顾性分析的方法，调查产科组（322例）和妇科组（92例）剖宫产产妇的资料，其中产科组纱布采用团块状填塞，妇科组纱布采用平铺式填塞，比较可溶性止血纱布不同填塞方式及数量产妇术后盆腔感染发生率。结果产科组盆腔感染率为4．04％（13／322），妇科组为0．00％（0／92），两组比较，差异无统计学意义（P ＝0．082）。剖宫产组手术过程中，使用可溶性止血纱布数量≤3块的产妇盆腔感染率为0，使用数量＞3块的产妇盆腔感染率为11．82％，两组比较，差异有统计学意义（P ＜0．001）。结论剖宫产术中正确合理使用可溶性止血纱布，能有效避免术后盆腔感染的发生。
목적：탐토부궁산환자술중사용가용성지혈사포대술후분강감염적영향。방법채용림상수방급회고성분석적방법，조사산과조（322례）화부과조（92례）부궁산산부적자료，기중산과조사포채용단괴상전새，부과조사포채용평포식전새，비교가용성지혈사포불동전새방식급수양산부술후분강감염발생솔。결과산과조분강감염솔위4．04％（13／322），부과조위0．00％（0／92），량조비교，차이무통계학의의（P ＝0．082）。부궁산조수술과정중，사용가용성지혈사포수량≤3괴적산부분강감염솔위0，사용수량＞3괴적산부분강감염솔위11．82％，량조비교，차이유통계학의의（P ＜0．001）。결론부궁산술중정학합리사용가용성지혈사포，능유효피면술후분강감염적발생。
Objective To evaluate the effect of intraoperative use of soluble hemostasis gauze on postoperative pel-vic infection in parturients undergoing cesarean section.Methods Data about cesarean section parturients in obstet-ric group(n=322)and gynaecology group (n =92)were surveyed by clinical follow-up and retrospective analysis method,obstetric group adopted bulk packing of gauze,gynaecology group adopted flat lay packing ,incidence of postoperative pelvic infection between parturients who used soluble hemostasis gauze with different packing meth-ods,as well as with different pieces were compared and analyzed.Results Pelvic infection rate in obstetric group and gynaecology group was 4.04%(13/322)and 0.00%(0/92)respectively,there was no significant difference be-tween two groups(P =0.082 ).In obstetric group,pelvic infection rate in parturients who used ≤3 pieces of solu-ble hemostasis gauze was 0,used >3 pieces was 11 .82%,there was significant difference between the two (P <0.001).Conclusion Rational use of soluble hemostasis gauze in caesarean operation can effectively avoid postopera-tive pelvic infection.