【摘要】 目的分析我院半年内8例剖宫产术后切口感染的高危因素,探讨其原因及防治策略。方法采用了前瞻和回顾性的方法,依照卫生部医政司《医院感染诊断标准》,根据感染科医务人员深入科室检查及发现监测医生、护士的报告单以及医生护士的病程记录、各种辅助检查、抗生素的应用等进行分析。结果2004年2~7月,我院共做剖宫产849例,剖宫产术后切口感染8例,感染率0.94%;1例切口感染分泌物培养是模仿葡萄球菌,1例切口感染分泌物培养是脲气球菌,手术室环境、产科病室环境、手术时间、逆行感染、术中参观人员、患者自身等因素为剖宫产术后切口感染的危险因素。结论1周内是切口感染的高危时段;6个因素为切口感染的高危险因素;采取相关的有效措施进行控制和预防,从而减少了切口感染病例的发生。更多还原

【Abstract】 OBJECTIVE To investigat e the high risk factors of 8 cases with incisional infections after hysterotomy wi thin half a year,and study their causes and countermeasures. METHODS The prospective and retrospective study was conducted to detect and inspect the reporting lists and protocol note s of doctors and nurses,all kinds of tests,and the use of antibiotics. RESULTS From Feb to Jul in 2004,8(0.94%) cases with incisional infections after hysterotomy from 849 cases of hysterot omy were found.In culture of secreta from two cases of incisional infections, Staphylococcus simulans and Aerococcus urinae we re found,separately.The high risk factors of the incisional infections after h ysterotomy were the surroundings of operating room and obstetrical room,operati on time,retrograde infection,visitors of operation,atopy of patients,etc. CONCLUSIONS The first week after operat ion is the high risk stage for incisional infections;the factors metioned are all the high risk ones of the incisional infections;correlational measures must be taken in order to decrease the incisional infection rate after hysterotomy.更多还原