281例剖宫产导尿后尿路感染与产程的关系  

A study of the connection between urinary tract infection following urethral catheterization and stages of labor in 281 cases of cesarean section

作　　者：张雪梅[1] 宋红娟[1] 

机构地区：[1]徐州市妇幼保健院妇产科,江苏徐州221009

出　　处：《徐州医学院学报》2009年第12期877-878,共2页Acta Academiae Medicinae Xuzhou

摘　　要：目的分析剖宫产导尿后尿路感染与产程的关系,为临床预防及治疗提供依据。方法对2002年4月至2008年12月本院剖宫产患者导尿后发生的尿路感染进行统计分析。结果剖宫产15 875例,导尿后尿路感染281例,尿路感染率为1.77%。择期剖宫产组患者(A组)尿路感染率为0.72%,临产后宫口开大3 cm之前剖宫产组(B组)为1.29%,宫口开大3 cm^8 cm剖宫产组(C组)为1.76%,宫口开大8 cm以后剖宫产组(D组)为3.18%。随着产程的进展,尿路感染发生率显著增高(P<0.05)。结论剖宫产导尿后尿路感染的发生与产程有关,产程末期导尿后尿路感染率高。Objective To analyze the relationship between urinary tract infection（UTI） following urethral catheterization and stages of labor,so as to provide scientific basis for clinical prevention and treatment.Methods 281 cases of labor stage-related urinary tract infection from Apr.2002 to Dec.2008 were reviewed for statistical analysis.Results Of the total 15 875 cases undergoing Cesarean section,the incidence of UTI was 1.77%,0.72% in group A（elective caesarean section）,1.29% in group B（Caesarean section performed prior to the uterine orifice diameter larger than 3 cm in labor）,1.76% in group C（Caesarean section performed when the uterine orifice diameter between 3 cm and 8 cm）,3.18% in group D（Caesarean section performed when the uterine orifice diameter larger than 8 cm）,respectively.The incidence of UTI increased markedly with the progress of labor stages（P〈0.05）.Conclusions The incidence of urinary tract infection was significantly correlated with the stages of labor,and a higher incidence occurred in late labor stage following urethral catheterization.

关 键 词：尿路感染 产程 导尿 剖宫产 

分 类 号：R691.3[医药卫生—泌尿科学]