【摘要】：目的探討產(chǎn)婦行剖宮產(chǎn)術(shù)后醫(yī)院感染因素及預(yù)防控制措施,為醫(yī)院感染控制工作提供參考依據(jù)。方法選取在2012-2014年行剖宮產(chǎn)手術(shù)的產(chǎn)婦1 942例作為研究對象,對其術(shù)后醫(yī)院感染率、感染部位等進行分析比較;采用SPSS 13.0軟件進行統(tǒng)計分析。結(jié)果剖宮產(chǎn)術(shù)后產(chǎn)婦醫(yī)院感染140例,感染率為7.2%,且呈逐年上升趨勢;在術(shù)后發(fā)生醫(yī)院感染的產(chǎn)婦中,以生殖道感染最多,占44.3%;單因素分析顯示,產(chǎn)婦的年齡、妊娠并發(fā)癥、住院時間、試產(chǎn)時間、放置導(dǎo)尿管、急診手術(shù)、醫(yī)務(wù)人員手術(shù)熟練程度及抗菌藥物應(yīng)用時機等與術(shù)后醫(yī)院感染的發(fā)生具有相關(guān)性(P0.05);多因素logistic回歸分析顯示,有妊娠并發(fā)癥、放置導(dǎo)尿管、手術(shù)技術(shù)不熟練、術(shù)后應(yīng)用抗菌藥物預(yù)防感染是剖宮產(chǎn)產(chǎn)婦術(shù)后醫(yī)院感染的獨立危險因素。結(jié)論剖宮產(chǎn)產(chǎn)婦術(shù)后醫(yī)院感染率較高,其發(fā)生與多種因素有關(guān),臨床醫(yī)師根據(jù)產(chǎn)婦的高危因素采取相應(yīng)的干預(yù)措施,可有效降低醫(yī)院感染的發(fā)生。
[Abstract]:Objective to explore the factors of hospital infection and its prevention and control measures after hysterectomy in parturients, and to provide reference for the control of hospital infection. Methods 1 942 parturients undergoing cesarean section in 2012 / 2014 were selected as the subjects of study, and the postoperative hospital infection rate and infection site were analyzed and compared, and SPSS 13.0 software was used for statistical analysis. Results there were 140 parturients with hospital infection after cesarean section, the infection rate was 7.2%, and it showed an increasing trend year by year. Among the parturients with hospital infection after cesarean section, reproductive tract infection was the most common, accounting for 44.3%. Univariate analysis showed that the age of parturients, pregnancy complications, hospitalization time, trial delivery time, catheterization, emergency surgery, surgical proficiency of medical staff and the timing of antibiotics use were correlated with the occurrence of postoperative hospital infection (P 0.05). Multivariate logistic regression analysis showed that there were pregnancy complications, catheter placement, unskilled surgical techniques, postoperative use of antibiotics to prevent infection is an independent risk factor for postoperative hospital infection in cesarean section parturients. Conclusion the hospital infection rate of cesarean section parturients is high, and its occurrence is related to many factors. Clinicians can effectively reduce the occurrence of hospital infection by taking corresponding intervention measures according to the high risk factors of parturients.
【作者單位】： 杭州市江干區(qū)人民醫(yī)院婦產(chǎn)科;
【基金】：浙江省教育廳基金資助項目(Y201431433)
【分類號】：R719.8

【參考文獻】

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