本文關(guān)鍵詞：產(chǎn)婦產(chǎn)褥期感染病原學(xué)特點(diǎn)及危險(xiǎn)因素分析　出處：《中華醫(yī)院感染學(xué)雜志》2017年20期 　論文類型：期刊論文

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【摘要】：目的探討產(chǎn)婦產(chǎn)褥期感染的病原學(xué)分布及感染的危險(xiǎn)因素分析。方法選取2015年6月-2016年10月醫(yī)院收治的產(chǎn)婦483例作為研究對(duì)象,調(diào)查產(chǎn)褥期感染的情況,對(duì)感染產(chǎn)婦進(jìn)行分析,收集樣本進(jìn)行病原學(xué)檢測(cè),運(yùn)用單因素及多因素logistic線性回歸分析方法探討發(fā)生感染的危險(xiǎn)因素。結(jié)果 483例產(chǎn)婦共發(fā)生產(chǎn)褥期感染17例,感染率為3.52%,其中8例發(fā)生在會(huì)陰切口占47.06%;17例產(chǎn)婦共檢出59株病原菌,其中革蘭陰性菌24株占40.68%,革蘭陽(yáng)性菌30株占50.85%;單因素分析結(jié)果表明:產(chǎn)程(活躍期)延長(zhǎng)(8h)、破膜時(shí)間長(zhǎng)(12h)、剖宮產(chǎn)、醫(yī)源性操作不當(dāng)、產(chǎn)前產(chǎn)后出血、胎膜早破、合并慢性病、貧血的產(chǎn)婦出現(xiàn)感染的概率明顯高于其他產(chǎn)婦,差異有統(tǒng)計(jì)學(xué)意義(P0.05),logistic多因素結(jié)果顯示:產(chǎn)程(活躍期)延長(zhǎng)(8h)、胎膜早破、醫(yī)源性操作不當(dāng)、產(chǎn)前產(chǎn)后出血是產(chǎn)婦產(chǎn)褥期感染的獨(dú)立危險(xiǎn)因素。結(jié)論產(chǎn)婦產(chǎn)褥期易受到多種病原菌感染,針對(duì)產(chǎn)褥期感染的病原菌使用相應(yīng)的抗菌藥物至關(guān)重要,但更為重要的是根據(jù)產(chǎn)褥期感染的危險(xiǎn)因素采取針對(duì)性地預(yù)防措施,減少產(chǎn)褥期感染的發(fā)生率。
[Abstract]:Objective to investigate the etiological distribution of puerperal infection and the risk factors of infection. Methods 483 cases of puerpera admitted from June 2015 to October 2016 were selected as the study objects. To investigate the situation of puerperium infection, to analyze the infected puerpera, to collect samples for etiology detection. Univariate and multivariate logistic linear regression analysis was used to study the risk factors of infection. Results 17 cases of puerperal infection occurred in 3.52% cases of puerpera. Among them, 8 cases occurred in perineal incision (47.06%). A total of 59 strains of pathogenic bacteria were detected in 17 puerperas, of which 24 were Gram-negative bacteria (40.68) and 30 Gram-positive bacteria (50.85). The results of univariate analysis showed that the duration of labor (active period) was prolonged for 8 hours, the time of membrane rupture was longer than 12 hours, cesarean section, iatrogenic misoperation, antepartum and postpartum hemorrhage, premature rupture of membranes, and complicated with chronic diseases. The probability of infection in anemia parturient was significantly higher than that in other parturients, and the difference was statistically significant (P 0.05) logistic multivariate results showed that the stage of labor (active period) was prolonged for 8 hours. Premature rupture of membranes, improper iatrogenic operation, prenatal and postpartum hemorrhage are the independent risk factors of puerperal infection. Conclusion Maternal puerperium is susceptible to various pathogens infection. It is very important to use antimicrobial agents against puerperium infection, but it is more important to take preventive measures according to the risk factors of puerperium infection to reduce the incidence of puerperium infection.
【作者單位】： 海南醫(yī)學(xué)院第二附屬醫(yī)院婦產(chǎn)科;
【分類號(hào)】：R714.62
【正文快照】： 產(chǎn)婦是特殊的群體,在產(chǎn)褥期不僅有分娩造成 的身心不適,面對(duì)來(lái)自家庭、社會(huì)的各種壓力,而且要承擔(dān)照顧新生兒的責(zé)任,在照顧孩子的過(guò)程中,往往因全身心投入而忽略了自身健康[1],因此易受病 原體感染,引起局部和全身的炎癥,產(chǎn)后健康和生活質(zhì)量受到嚴(yán)重影響[2],此外,感染還會(huì)對(duì)

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