CAJ | 학술논문

目的：分析造成剖宫产术后子宫切口愈合不良的相关危险因素，为临床防止切口愈合不良提供参考依据。方法收集2012年4月至2014年8月陕西中医学院第二附属医院收治的968例剖宫产手术患者的临床资料，其中31例切口愈合不良患者作为观察组，选取同期切口愈合良好患者50例作为对照组，对可能造成切口愈合不良的因素进行对照分析。结果观察组患者的妊娠期高血压、子宫肌瘤、贫血、糖尿病、胎膜早破发生率，既往剖宫产史比例、体质量指数、手术时间与术后失血量均高于对照组，术前抗生素使用比例低于对照组，差异均有统计学意义(P<0．05)。结论肥胖、贫血、糖尿病、产后失血量大、手术时间长、胎膜早破、子宫肌瘤、既往剖宫产史和术前未使用抗生素是造成剖宫产术后子宫切口愈合不良的相关危险因素，实际手术中应注意针对性的进行处理，以减少切口愈合不良的发生概率。
목적：분석조성부궁산술후자궁절구유합불량적상관위험인소，위림상방지절구유합불량제공삼고의거。방법수집2012년4월지2014년8월협서중의학원제이부속의원수치적968례부궁산수술환자적림상자료，기중31례절구유합불량환자작위관찰조，선취동기절구유합량호환자50례작위대조조，대가능조성절구유합불량적인소진행대조분석。결과관찰조환자적임신기고혈압、자궁기류、빈혈、당뇨병、태막조파발생솔，기왕부궁산사비례、체질량지수、수술시간여술후실혈량균고우대조조，술전항생소사용비례저우대조조，차이균유통계학의의(P<0．05)。결론비반、빈혈、당뇨병、산후실혈량대、수술시간장、태막조파、자궁기류、기왕부궁산사화술전미사용항생소시조성부궁산술후자궁절구유합불량적상관위험인소，실제수술중응주의침대성적진행처리，이감소절구유합불량적발생개솔。
Objective To analyze the risk factors of poor healing of uterus incision after cesarean section, to provide basis for clinical prevention of uterus poor healing of incision. Methods A total of 968 cases with cesarean section in The Second Affiliated Hospital of Shanxi College of TCM from Apr 2012 to Aug 2014 were selected, including 31 cases with poor healing of incision were selected as observation group, 50 patients with well healing of incision in the same period were selected as control group, the factors may cause poor healing were contrast analyzed. Results The incidence of uterine fibroids, anemia, diabetes, history of previous cesarean delivery, premature rupture of membranes of observation group were higher than control group, the body mass index, operation time and blood loss of observation group were also higher than control group, while the ratio of postoperative preoperative antibiotic use of observation group was lower than control group, the differences were statistically significant (P<0. 05). Conclusion Obesity, anemia, diabetes, postpartum blood loss, long operation time, gestational hypertension, premature rupture of membranes, uterine fibroids, the history of cesarean section and preoperative lack use of antibiotics are the related risk factors of poor healing of uterus incision after cesarean section, proper measures should be conducted in practical operations, in order to reduce the probability of poor healing of incision.