母婴同室新生儿院内获得性肺炎调查及其高危因素分析  

Hospital acquired pneumonia of infants in the rooms of mothers and infants and its high risk factors

作　　者：陈香军[1] 裘雅芬[1] 赵文斌[1] 徐军娟[1] 何吉庆[1] 

机构地区：[1]杭州师范大学附属医院产科,浙江杭州310000

出　　处：《中华医院感染学杂志》2017年第11期2599-2602,共4页Chinese Journal of Nosocomiology

基　　金：浙江省中医药科学研究基金资助项目(2013ZB074)

摘　　要：目的研究与分析母婴同室新生儿院内获得性肺炎现状及其高危因素,为该类新生儿院内获得性肺炎的预防控制提供依据。方法选取2015年4月-2016年7月医院母婴同室的386例新生儿为研究对象,将其中院内获得性肺炎发生率进行统计,并比较不同胎龄、分娩方式、体重、Apgar评分、母体妊娠期疾病情况、产程长短及是否胎膜早破者的发生率,同时采用logistic回归分析处理上述7项因素与母婴同室新生儿院内获得性肺炎的关系。结果 386例母婴同室新生儿中共发生院内获得性肺炎18例,发生率为4.66%,且不同胎龄、分娩方式、体重、Apgar评分、母体妊娠期疾病情况、产程长短及是否胎膜早破者的发生率存在显著性差异,同时采用logistic回归分析显示,上述7项因素均与母婴同室新生儿院内获得性肺炎有密切关系,差异有统计学意义(P<0.05)。结论母婴同室新生儿院内获得性肺炎的发生率仍不低,且胎龄、分娩方式、体重、Apgar评分、母体妊娠期疾病情况、产程长短及是否胎膜早破均对其发生影响较大,故应重视上述因素的干预。OBJECTIVE To investigate and analyze the hospital acquired pneumonia status of infants in the rooms of mothers and infants and its high risk factors,so as to provide evidence for the prevention and control of hospital acquired pneumonia of theses infants.METHODS A total of 386 infants in the rooms of mothers and infants during the period of Apr.2015 to Jul.2016 were selected as research objects.The incidence of hospital acquired pneumonia was analyzed,and the rates of infants with different gestational ages,delivery modes,weights,Apgar scores,maternal diseases in pregnancy,lengths of production and whether premature rupture of membranes were compared,then the relationship between the seventh factors and hospital acquired pneumonia of infants in the rooms of mothers and infants were analyzed by the logistic regression analysis.RESULTS Totally 18 cases of 386 infants in the rooms of mothers and infants occurred hospital acquired pneumonia,with the rate of 4.66%,The rates of infants with different gestational ages,delivery modes,weights,Apgar scores,maternal diseases in pregnancy,lengths of production and whether premature rupture of membranes all had significant differences.Logistic regression analysis showed that the seven factors all had close relationship to the hospital acquired pneumonia of infants in the rooms of mothers and infants,and the differences were significant （P〈0.05）.CONCLUSION The incidence of hospital acquired pneumonia of infants in the rooms of mothers and infants is still not low,and the influences of gestational age,delivery mode,weight,Apgar score,maternal disease in pregnancy,length of production and whether premature rupture of membranes on the rates are great,so those factors should be paid to more attention.

关 键 词：母婴同室 新生儿 院内获得性肺炎 高危因素 

分 类 号：R725.6[医药卫生—儿科]