产褥感染影响因素分析及其与分娩方式相关性  

The risk factors of puerperal infection and its relationship with delivery methods

作　　者：汤志琴 龚艳霞 李文海 TANG Zhi-qin(Department of Obstetrics and Gynecology,Center Health Center of Tanbu Town,Guangzhou 510820,China)

机构地区：[1]炭步镇中心卫生院妇产科,广东广州510820

出　　处：《牡丹江医学院学报》2018年第5期23-25,74,共4页Journal of Mudanjiang Medical University

基　　金：广州市花都区科技计划项目(16-HDWS-069)

摘　　要：目的分析产褥感染影响因素分析及其和分娩方式相关性。方法对2015年7月至2018年4月间于我院分娩的1137例产妇进行回顾性分析,根据是否发生产褥感染分为感染组(102例)和非感染组(1035例),统计两组患者的临床资料,应用单因素和多因素Logistic回归模型分析产褥感染影响因素。结果感染组的平均年龄、孕前BMI、平均孕周,经产妇、阴道炎、盆腔炎、妊娠期糖尿病(GDM)、过期产、胎膜早破、第二产程延长、会阴撕裂的比例显著高于非感染组(P <0. 05),而感染组的初产妇、自由体位分娩比例明显低于非感染组(P <0. 05),两组产妇的HDP、孕周、剖宫产比例、出生体重等不存在统计学差异(P> 0. 05)。单因素Logistic回归分析显示,年龄,孕前BMI,阴道炎,盆腔炎,GDM,胎膜早破,第二产程延长和会阴撕裂为产褥感染的危险因素,自由体位分娩为保护因素,而初产妇、过期产与产褥感染无明显的相关性。多因素Logistic回归分析显示,妊娠年龄,孕前BMI,盆腔炎,阴道炎,GDM,胎膜早破和会阴撕裂是产褥感染的独立危险因素,自由体位分娩是保护因素,第二产程延长不是产褥感染的独立危险因素。结论年龄,孕前BMI,阴道炎,盆腔炎,GDM,胎膜早破和会阴撕裂是产褥感染的独立危险因素,自由体位分娩能够降低产褥感染风险。Objective To analyze the influencing factors of puerperal infection and its relationship with delivery methods. Methods A retrospective analysis was performed on 1137 maternal women who delivered in our hospital from February 2015 to December2017. The puerpera were divided into infection group（ 102 cases） and non-infection group（ 1035 cases） according to whether were diagnosed as puerperal infection. The clinical data of patients were analyzed using univariate and multivariate logistic regression models to explorer the risk factors of puerperal infection. Results The average age,BMI before pregnancy,average gestational age,the proportion of parturient,vaginitis,pelvic inflammation,GDM,overdue,premature rupture of membranes,the extension of the second stage and the perineum tear of the infected group were significantly higher than that of the non-infection group（ P 〈 0. 05）,the proportion of childbirth in the primipara and free postures was significantly lower than that of the non-infection group（ P 〈 0. 05）. There was no significant difference in HDP,gestational age,cesarean section ratio,birth weight between the two groups（ P 〉 0. 05）. Univariate logistic regression analysis showed that age,pre-pregnancy BMI,vaginitis,pelvic inflammatory disease,GDM,premature rupture of membranes,prolonged second stage of labor,and perineal tear were risk factors for puerperal infection. Free body position was the protective factor for overdose,but no significant correlation was found between primipara and puerperal infections. Multivariate logistic analysis showed that age,pre-pregnancy BMI,vaginitis,pelvic inflammatory disease,GDM,premature rupture of membranes,and perineal tear were independent risk factors for puerperal infection. Free body position delivery was a protective factor. The prolonged second stage of labor was not independent risk factors for tick infections. Conclusion Age,pre-pregnancy BMI,vaginitis,pelvic inflammatory disease,GDM,premature rupture of membranes,and perineal tear are in

关 键 词：产褥感染 危险因素 分娩 自由体位 

分 类 号：R714.62[医药卫生—妇产科学]