会阴侧切切口感染临床特征剖析.docVIP

会阴侧切切口感染临床特征剖析 　　【摘要】 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（P0.05），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（P0.05）。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。 　　【关键词】 会阴侧切； 切口感染； 临床特征； 预防 　　Analyze the Clinical Characteristics of Perineal Side Incision Infection/DONG Xiao-yan.//Medical Innovation of China，2015，12（15）：088-090 　　【Abstract】 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 tha