CAJ | 학술논문

目的：探讨会阴侧切切口感染临床特征及预防措施。方法：选取2010年1月-2012年6月50例本院实施会阴侧切并切口感染产妇作为切口感染组，选取同期无切口感染的会阴侧切产妇50例作为无切口感染组。回顾性分析会阴侧切产妇临床资料，观察切口分泌物培养结果，分析会阴侧切切口感染的危险因素，探讨会阴侧切切口感染对预后影响。结果：50例患者40例送检，阳性检出17例，共检出致病菌23株次，革兰阳性菌15株次，革兰阴性菌5株次，真菌4株次，前5位致病菌为链球菌属、阴道加德纳菌、大肠埃希菌、金黄色葡萄球菌、表皮葡萄球菌。切口感染组年龄≥30岁为62.00%、合并贫血为34.00%、体质量指数≥24 kg/m2为48.00%、阴道检查及肛检≥3次为38.00%、夏季分娩为46.00%、发生滞产为28.00%、切开后至胎儿娩出≥10 min为32.00%、未应用可吸收缝合线为26.00%，均高于无切口感染组的38.00%、20.00%、18.00%、14.00%、28.00%、12.00%、14.00%、4.00%，两组比较差异均有统计学意义（P<0.05），是引起会阴侧切切口感染相关因素；切口感染组母乳喂养为74.00%低于无切口感染组的92.00%，切口感染组住院≥7 d为86.00%高于无切口感染组的42.00%，两组比较差异有统计学意义（P<0.05）。结论：会阴侧切切口感染发生率高，培养结果复杂，是多种因素共同作用结果，对预后有不良影响，应采取针对性措施以有效降低会阴侧切切口感染发生率。
목적：탐토회음측절절구감염림상특정급예방조시。방법：선취2010년1월-2012년6월50례본원실시회음측절병절구감염산부작위절구감염조，선취동기무절구감염적회음측절산부50례작위무절구감염조。회고성분석회음측절산부림상자료，관찰절구분비물배양결과，분석회음측절절구감염적위험인소，탐토회음측절절구감염대예후영향。결과：50례환자40례송검，양성검출17례，공검출치병균23주차，혁란양성균15주차，혁란음성균5주차，진균4주차，전5위치병균위련구균속、음도가덕납균、대장애희균、금황색포도구균、표피포도구균。절구감염조년령≥30세위62.00%、합병빈혈위34.00%、체질량지수≥24 kg/m2위48.00%、음도검사급항검≥3차위38.00%、하계분면위46.00%、발생체산위28.00%、절개후지태인면출≥10 min위32.00%、미응용가흡수봉합선위26.00%，균고우무절구감염조적38.00%、20.00%、18.00%、14.00%、28.00%、12.00%、14.00%、4.00%，량조비교차이균유통계학의의（P<0.05），시인기회음측절절구감염상관인소；절구감염조모유위양위74.00%저우무절구감염조적92.00%，절구감염조주원≥7 d위86.00%고우무절구감염조적42.00%，량조비교차이유통계학의의（P<0.05）。결론：회음측절절구감염발생솔고，배양결과복잡，시다충인소공동작용결과，대예후유불량영향，응채취침대성조시이유효강저회음측절절구감염발생솔。
Objective:To investigate the clinical characteristics of perineal side incision infection and preventive measures.Method:50 cases with perineal side incision infection were selected in our hospital from January 2010 to June 2012 as the perineal side incision infection group,and 50 cases with no perineal side incision infection were selected at the same period as the no perineal side incision infection.The clinical data of perineal side incision was retrospective analyzed, the incision secretion culture results were observed,risk factors of episiotomy infection were analyzed,the perineum side earnestly infection on the prognosis was investigated.Result:50 patients of 40 cases examined,positive in 17 cases,found a total of 23 strains of pathogenic bacteria,15 strains of gram positive bacteria time,5 strains of gram negative bacteria time,and 4 strains of fungi times,the first five a pathogenic bacteria was streptococcus spp, vaginal Gardiner bacteria,escherichia coli,staphylococcus aureus,staphylococcus epidermidis. In perineal side incision infection group,aged 30 years was 62.00%,34.00% with anemia,the body mass index more than 24 kg/m2 was 48.00%,the vagina and anus check equal to or more than 3 times was 38.00%,summer delivery was 46.00%,delivery occurred lag production was 28.00%,after the incision to delivery of the fetus larger than 10 min was 32.00%, without the use of absorbable suture was 26.00% higher than that no perineal side incision infection group of 20.00%,38.00%, 18.00%,14.00%,28.00%,12.00%,14.00%,4.00%,the differences were statistically significant(P<0.05), those were related factors which caused by the lateral perineal incision infection; perineal side incision infection group of breast fed for 74.00% lower than that of no perineal side incision infection group of 92.00%,7 days of hospitalization of perineal side incision infection group was 86.00% higher than that 42.00% of no perineal side incision infection group, the difference was statistically significant(P<0.05).Conclusion: Perineal incision infection rate is high,the culture results are complicated,many factors result,have adverse effects on prognosis,measures should be taken to reduce the incidence of infection of incision of lateral episiotomy.