摘要
目的探讨剖宫产术后医院感染的主要原因,并采取有效的应对策略,为预防和控制剖宫产术后医院感染提供科学有效的依据。方法回顾性分析2011年6月-2013年6月行剖宫产术的3 502例产妇临床资料,数据分析采用SPSS11.0统计软件。结果 3 502例剖宫产产妇术后共发生医院感染108例,感染率3.08%;医院感染的部位依次为呼吸道、泌尿系统、手术切口、生殖道感染,分别占41.67%、28.70%、16.67%、12.96%;医院感染的原因有高龄、体质量指数高、胎盘异常、胎膜早破、妊娠期糖尿病、妊娠高血压综合征、贫血、手术前阴道指诊次数、术前导尿次数、术中出血量、术后尿管留置时间及手术时间。结论剖宫产术后发生医院感染的原因较多,与产妇高龄、肥胖、术前多次阴道指诊和导尿、合并糖尿病等多种内科合并症等因素有关,针对高危因素积极采取相应的应对策略给予预防,可降低医院感染的发生率。
OBJECTIVE To explore the leading causes of nosocomial infections after cesarean section and take effec‐tive coping strategies so as to provide scientific bases for prevention and control of the nosocomial infections after the cesarean section .METHODS The clinical data of 3 502 puerpera who underwent the cesarean section from Jun 2011 to Jun 2013 were retrospectively analyzed ,and the statistical analysis was performed with the use of SPSS11 . 0 software .RESULTS The nosocomial infections occurred in 108 of 3 502 puerpera who underwent the cesarean section ,with the infection rate of 3 .08% ,of whom 41 .67% were with the respiratory tract infections ,28 .70%with the urinary tract infections ,16 .67% with the surgical incision infections ,12 .96% with the genital tract in‐fections .The causes of the nosocomial infections included the advanced age ,high body mass index ,placental ab‐normalities ,gestational diabetic mellitus ,pregnancy‐induced hypertension ,anemia ,frequency of preoperative va‐ginal palpation ,frequency of preoperative urethral catheterization ,intraoperative bleeding volume ,time of postop‐erative catheter indwelling ,and operation duration .CONCLUSION There are a variety of risk factors for the noso‐comial infections after the cesarean section ,including the advanced age ,obesity ,frequent vaginal palpation before surgery or urethral catheterization ,and complication of multiple internal diseases such as diabetes ;it is necessary to actively take targeted prevention countermeasures according to the high risk factors so as to reduce the incidence of nosocomial infections .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第22期5662-5663,5666,共3页
Chinese Journal of Nosocomiology
基金
浙江省医药科技基金资助项目(Z2011088)
关键词
剖宫产术后
医院感染
感染原因
控制管理
After cesarean section
Nosocomial infection
Cause of infection
Control and management
