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目的探讨引起会阴伤口感染愈合的方法及预防措施。方法回顾性分析阴道分娩产妇的临床资料,以伤口感染的80例产妇作为观察组,选择同期无伤口感染的3440例产妇作为对照组,比较影响2组伤口愈合的相关因素。结果 2组在产妇年龄、体质量指数、合并基础疾病、阴道检查次数、存在生殖道感染、发生胎膜早破、巨大儿、第二产程时间、胎盘娩出时间、接生者工作时间上比较差异有统计学意义(P<0.05),而孕周、预防性应用抗生素、城乡孕妇数量比较差异无统计学意义(P>0.05)。结论会阴伤口感染是多因素综合作用的结果,采用中西药结合疗法有助于伤口愈合。
Objective To investigate the methods and preventive measures of perineal wound infection. Methods The clinical data of vaginal delivery women were retrospectively analyzed. Totally 80 pregnant women infected with wounds were selected as the observation group. 3440 pregnant women without wound infection during the same period were selected as the control group, and the related factors affecting the wound healing were compared. Results There were significant differences in maternal age, body mass index, underlying diseases, number of vaginal examinations, presence of genital tract infection, premature rupture of membranes, macrosomia, duration of second stage of labor, delivery time of placenta, Statistical significance (P <0.05), while gestational age, prophylactic antibiotics, the number of pregnant women in urban and rural areas was no significant difference (P> 0.05). Conclusion Perineal wound infection is the result of multifactorial combination. The combination of Chinese and western medicine can help wound healing.