發(fā)布時間：2018-07-14 07:14

【摘要】：目的研究與分析母嬰同室新生兒院內(nèi)獲得性肺炎現(xiàn)狀及其高危因素,為該類新生兒院內(nèi)獲得性肺炎的預(yù)防控制提供依據(jù)。方法選取2015年4月-2016年7月醫(yī)院母嬰同室的386例新生兒為研究對象,將其中院內(nèi)獲得性肺炎發(fā)生率進行統(tǒng)計,并比較不同胎齡、分娩方式、體重、Apgar評分、母體妊娠期疾病情況、產(chǎn)程長短及是否胎膜早破者的發(fā)生率,同時采用logistic回歸分析處理上述7項因素與母嬰同室新生兒院內(nèi)獲得性肺炎的關(guān)系。結(jié)果 386例母嬰同室新生兒中共發(fā)生院內(nèi)獲得性肺炎18例,發(fā)生率為4.66%,且不同胎齡、分娩方式、體重、Apgar評分、母體妊娠期疾病情況、產(chǎn)程長短及是否胎膜早破者的發(fā)生率存在顯著性差異,同時采用logistic回歸分析顯示,上述7項因素均與母嬰同室新生兒院內(nèi)獲得性肺炎有密切關(guān)系,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論母嬰同室新生兒院內(nèi)獲得性肺炎的發(fā)生率仍不低,且胎齡、分娩方式、體重、Apgar評分、母體妊娠期疾病情況、產(chǎn)程長短及是否胎膜早破均對其發(fā)生影響較大,故應(yīng)重視上述因素的干預(yù)。
[Abstract]:Objective to study and analyze the present situation and high risk factors of nosocomial pneumonia in neonates with mother and infant, and to provide evidence for prevention and control of nosocomial pneumonia. Methods 386 newborns in the same room of mother and infant in hospital from April 2015 to July 2016 were selected as the study objects. The incidence of nosocomial pneumonia was counted, and the different gestational age, delivery mode, weight and Apgar score, and maternal disease were compared. The length of labor and the incidence of premature rupture of membranes were analyzed by logistic regression analysis. The relationship between the seven factors and the nosocomial pneumonia of neonates in the same room was analyzed by logistic regression analysis. Results there were 18 cases of nosocomial pneumonia in 386 newborns in the same room of mother and infant, the incidence rate was 4.66, and there were different gestational ages, delivery patterns, weight and Apgar scores, and maternal diseases during pregnancy. There were significant differences in the length of labor and the incidence of premature rupture of membranes. Logistic regression analysis showed that the above seven factors were closely related to neonatal nosocomial pneumonia of mother and infant (P0.05). Conclusion the incidence of nosocomial pneumonia in neonates with mother and child is still not low, and the birth age, delivery mode, weight and Apgar score, maternal diseases during pregnancy, length of labor and premature rupture of membranes have great influence on the occurrence of pneumonia. Therefore, attention should be paid to the intervention of the above factors.
【作者單位】： 杭州師范大學(xué)附屬醫(yī)院產(chǎn)科;
【基金】：浙江省中醫(yī)藥科學(xué)研究基金資助項目(2013ZB074)
【分類號】：R722.135

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