使用可溶性止血纱布对剖宫产术后盆腔感染的影响

Effect of soluble hemostasis gauze on pelvic infection after cesarean section

摘要:

目的探讨剖宫产患者术中使用可溶性止血纱布对术后盆腔感染的影响。方法采用临床随访及回顾性分析的方法，调查产科组（322例）和妇科组（92例）剖宫产产妇的资料，其中产科组纱布采用团块状填塞，妇科组纱布采用平铺式填塞，比较可溶性止血纱布不同填塞方式及数量产妇术后盆腔感染发生率。结果产科组盆腔感染率为4.04%（13/322），妇科组为0.00%（0/92），两组比较，差异无统计学意义（P=0.082 )。剖宫产组手术过程中，使用可溶性止血纱布数量≤3块的产妇盆腔感染率为0，使用数量＞3块的产妇盆腔感染率为11.82%，两组比较，差异有统计学意义（P＜0.001)。结论剖宫产术中正确合理使用可溶性止血纱布，能有效避免术后盆腔感染的发生。

关键词:

剖宫产; 盆腔感染; 可溶性止血纱布;医院感染

Abstract:

ObjectiveTo evaluate the effect of intraoperative use of soluble hemostasis gauze on postoperative pelvic infection in parturients undergoing cesarean section.MethodsData about cesarean section parturients in obstetric group（n=322）and gynaecology group (n=92) were surveyed by clinical followup and retrospective analysis method, obstetric group adopted bulk packing of gauze，gynaecology group adopted flat lay packing  , incidence of postoperative pelvic infection between  parturients who used soluble hemostasis gauze with different packing methods, as well as  with different pieces were compared and analyzed. ResultsPelvic infection rate in  obstetric group and gynaecology group was 4.04%（13/322） and 0.00%（0/92） respectively，there was no significant difference between  two groups（P=0.082 ).  In obstetric group, pelvic infection rate in parturients who used ≤3 pieces of soluble hemostasis gauze was 0, used >3 pieces was 11.82%,  there was significant difference between the two (P<0.001).ConclusionRational use of soluble hemostasis gauze in caesarean operation can effectively avoid postoperative pelvic infection.

Key words:

cesarean section; pelvic infection;soluble hemostasis gauze; healthcareassociated infection