孕产妇宫腔感染相关危险因素调查分析  

作　　者：陈小燕[1] 诸溢扬[1] 陈倩[1] 郑灵芝[1] 

机构地区：[1]浙江省台州医院,317000

出　　处：《浙江临床医学》2017年第11期2049-2050,共2页Zhejiang Clinical Medical Journal

基　　金：浙江省人口与计划生育基金资助项目（2014KYB366）

摘　　要：目的探讨孕产妇宫腔感染的病原学特点及可能造成感染的相关危险因素，为预防宫腔感染提供参考依据。方法回顾性分析2010年1月＆2015年12月孕产妇宫腔感染146例患者的临床资料。采用SPSS22．0软件进行统计分析。结果146例宫腔感染患者中革兰阳性菌、革兰阴性菌、真菌分别为50％、44．7％、5.3％。logistic回归性分析发现孕妇胎膜早破、孕期母体存在生殖道感染性疾病、产程延长、妊娠合并贫血、产程发热等情况是患者发生宫腔感染的独立危险因素。结论针对引起宫腔感染的危险因素，应采取相应的预防措施，有效降低宫腔感染发生，保障母婴健康。Objective To investigate the etiological characteristics of intrauterine infection and the related risk factors of infection, and to provide reference for prevention of intrauterine infection. Methods A total of 146 cases of maternal intrauterine infection were selected from January 2010 to December 2015. The clinical data were analyzed retrospectively. The data were analyzed by SPSS22.0 software. Results Gram-positive bacteria, Gram-negative bacteria and fungi were 46%, 44.7% and 5.3%, respectively, in 146 cases of intrauterine infection. Logistic regression analysis found that pregnant women with premature rupture of membranes, maternal reproductive tract infection during pregnancy, prolonged labor, pregnancy with anemia, labor fever, etc. were the occurrence of uterine infection in patients with independent risk factors, the difference was statistically significant P〈0.05 ） . Conclusions In view of the risk factors of intrauterine infection, the corresponding preventive measures should be taken to reduce the incidence of intrauterine infection and ensure the health of mother and child.

关 键 词：宫腔感染 剖宫产术 危险因素 

分 类 号：R764.430.2[医药卫生—耳鼻咽喉科]