摘要
目的探讨产妇产褥期感染相关影响因素,并分析其发生原因和预防控制措施,为降低产妇产褥期感染提供依据。方法选择医院2010年1月-2014年10月妇产科产妇1 828例,其中并发产褥感染产妇85例,调查产妇感染部位分布,统计产妇产程、破膜时间、合并生殖道炎症、剖宫产、产前贫血、产后出血等相关因素与感染相关性,数据均应用SPSS11.0软件进行统计分析。结果 1 828例产妇中85例并发产褥期感染,感染率为4.65%;主要感染部位为会阴切口、泌尿系统、阴道感染,分别占34.12%、30.59%、25.88%;产程>8h、破膜时间>12h、合并生殖道炎症、剖宫产、产前贫血、产后出血的产妇感染率均高于同组其他产妇,差异有统计学意义(P<0.05);产妇产褥期感染与产程、破膜时间、合并生殖道炎症疾病、剖宫产、产前贫血、产后出血等因素相关,差异有统计学意义(P<0.05)。结论产妇产褥期感染与产程、破膜时间、合并生殖道炎症、剖宫产、产前贫血、产后出血等相关,针对产褥期感染影响因素采取预防措施,以减少产妇产褥期感染发生率。
OBJECTIVE To explore the related influencing factors for maternal puerperal infections,and analyze the causes and the preventive control measures,so as to provide the basis for reducing maternal puerperal infections.METHODS Totally 1 828 puerpera in our hospital during Jan.2010 to Oct.2014 were selected randomly,including 85 cases with concurrent puerperal infections.The distribution of infected sites was investigated,and related factors,including birth process,time of premature rupture of membranes,combination with reproductive tract inflammation,cesarean section,prenatal anemia,postpartum hemorrhage,were summarized to analyze the correlation with infections.Data were statistically analyzed with the software SPSS11.0.RESULTS Puerperal infection rate was 4.65%.The most commonly infected sites were perineum incision（34.12%）,urinary system（30.59%）,and vaginal infection（25.88%）.The puerpera with birth process 〉8h,time of premature rupture of membranes 〉12 h,combination with genital tract inflammation,cesarean section,prenatal anemia,and postpartum hemorrhage had significantly higher infection rates than other puerpera（P〈0.05）.Maternal puerperal infection was significantly related to factors such as birth process,time of premature rupture of membranes,combination with reproductive tract inflammation,cesarean section,prenatal anemia,and postpartum hemorrhage（P〈0.05）.CONCLUSIONS Maternal puerperal infection was related with birth process,time of premature rupture of membranes,combination with genital tract inflammation,cesarean section,prenatal anemia,and postpartum hemorrhage.Preventive measures should be taken targeting at these risk factors so as to reduce the incidence of maternal puerperal infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第4期920-922,共3页
Chinese Journal of Nosocomiology
基金
浙江省卫计委中医药管理局基金资助项目(2012ZA014)
关键词
产妇
产褥期
感染
影响因素
控制措施
Puerpera
Puerperal period
Infection
Influencing factors
Control measures
