CAJ | 학술논문

目的：对剖宫产后可能造成感染的因素进行分析，为降低剖宫产术后感染发生提高依据。方法选取2008年1月至2013年1月期间在嵊州市人民医院妇科接受剖宫产术并发生感染情况的产妇80例作为观察对象，对其临床资料进行了回顾性分析，观察患者医院感染发生相关因素，并对相关因素进行Logistic回归分析。结果80例出现剖宫产术后感染的产妇中，感染比率最高的部位是泌尿系统感染和呼吸系统感染，其感染率分别为43.75％和31.25％；经过相关的诊断、调查及分析发现，在剖宫产术后感染可能相关因素包括了手术持续时间、侵入性操作次数、胎膜早破、抗生素使用情况等。结论对剖宫产术后感染相关因素有了充分认知的基础上，加强对医护人员操作等方面的管理可有效预防剖宫产术后感染的发生。
목적：대부궁산후가능조성감염적인소진행분석，위강저부궁산술후감염발생제고의거。방법선취2008년1월지2013년1월기간재승주시인민의원부과접수부궁산술병발생감염정황적산부80례작위관찰대상，대기림상자료진행료회고성분석，관찰환자의원감염발생상관인소，병대상관인소진행Logistic회귀분석。결과80례출현부궁산술후감염적산부중，감염비솔최고적부위시비뇨계통감염화호흡계통감염，기감염솔분별위43.75％화31.25％；경과상관적진단、조사급분석발현，재부궁산술후감염가능상관인소포괄료수술지속시간、침입성조작차수、태막조파、항생소사용정황등。결론대부궁산술후감염상관인소유료충분인지적기출상，가강대의호인원조작등방면적관리가유효예방부궁산술후감염적발생。
Objective To analyze the causes of infection after cesarean section.Methods 80 patients having infection after cesarean section from Jan.2008 to Jan.2013 in our hospital were studied.The clinical data were retrospectively analyzed.The nosocomial infection-related factors were observed and related factors were ana-lyzed by Logistic regression analysis.Results 80 cases of maternal infection occurs after cesarean section.The highest rate of infection was urinary tract infection and respiratory infection, accounting for 43.75%and 31.25%respectively.We found the possible factors related to infection after cesarean section induding operative time, the number of invasive procedures, premature rupture of membranes, and the use of antibiotics.Conclusions Knowing the factors related to infection and improving the operative skills of gynecologists can help to reduce the rate of infection after cesarean section.