产妇产褥期感染病原菌特点及影响因素分析  

Pathogenic bacteria characteristics and influencing factors of puerperal infection in lying-in women

作　　者：黄晓安[1] 杨萍[1] 李丹[1] 刘青 夏明珠 HUANG Xiao-an;YANG Ping;LI Dan;LIU Qing;XIA Ming-zhu(Jinhua Center Hospital, Jinhua , Zhejiang 321000, China)

机构地区：[1]金华市中心医院产科,浙江金华321000

出　　处：《中华医院感染学杂志》2018年第7期1089-1092,共4页Chinese Journal of Nosocomiology

基　　金：金华市卫生局基金资助项目(w2819223)

摘　　要：目的分析产妇产褥期感染的病原菌分布特点及影响因素。方法回顾性分析2014年2月-2016年3月于医院妇产科分娩的3 000例产妇的临床资料,其中发生产褥期感染产妇80例,分析感染部位的病原菌分布特点,统计分析产妇的临床资料,分析产妇产褥期感染发生的相关影响因素。结果 3 000例产妇中有80例发生产褥期感染,感染发生率为2.67%,产妇产褥期感染部位分布以呼吸系统23例占28.75%为主;80例产褥期感染产妇共检出90株病原菌,其中革兰阳性菌54株占60.00%、革兰阴性菌34株占37.78%、真菌2株占2.22%;多元Logistic回归分析结果显示,妊娠合并症、生殖道炎症、助产、产前贫血、产后出血、低血红蛋白水平、产程时间延长、营养不良、软肠道损伤、卧床时间均为导致产妇产褥期感染的影响因素。结论积极控制产妇产褥期发生感染的影响因素,并予以积极的产前、产后卫生宣教,强化产褥期护理,可降低产褥期感染发生率。OBJECTIVE To analyze the distribution characteristics of pathogenic bacteria and influencing factors of puerperal infection in lying-in women.METHODS The clinical data of 3000 cases of lying-in women who delivered in the department of obstetrics and gynecology in our hospital from Feb.2014 to Mar.2016 were collected and retrospectively analyzed.Among them,there were 80 cases of puerperal infection.The distribution characteristics of pathogens of infection sites was analyzed,and the clinical indicators were statistically analyzed,and the infection related factors of puerperal infection were analyzed.RESULTS There were 80 cases of puerperal infection in 3000 cases of lying-in women,and the incidence of infection i was 2.67%.The main infection site in the puerperal period was respiratory system,which was 23 cases accounting for 28.75%.A total of 90 strains of pathogenic bacteria detected in 80 cases of puerperal infection,including 54 strains of gram-positive bacteria accounting for 60.00%,34 strains of gram-negative bacteria accounting for 37.78%,and 2 strains of fungi accounting for 2.22%.Multivariable logistic regression analysis showed that pregnancy complication,reproductive tract inflammation,assisted deliveries,prenatal anemia,postpartum hemorrhage,low hemoglobin level,time of labor,malnutrition,soft intestinal injury,and bed time were risk factors of puerperal infection in lying-in women.CONCLUSIONActive control of risk factors and strengthening puerperal nursing education can reduce the incidence of puerperal infection.

关 键 词：产褥期感染 病原菌 影响因素 

分 类 号：R714.62[医药卫生—妇产科学]