妊娠期糖尿病孕妇分娩后会阴切口感染的影响因素分析  

Influencing factors for perineal incision infection in gestational diabetes mellitus women after delivery

作　　者：邵满琴 鲁佳 孙莉莉 李惠 钱芬群 蒋晶晶 SHAO Man-qin;LU Jia;SUN Li-li;LI Hui;QIAN Fen-qun;JIANG Jing-jing(Obstetrics and Gynecology Hospital of Fuyang District,Hangzhou,Zhejiang 311400,China)

机构地区：[1]杭州市富阳区妇幼保健院产科

出　　处：《中华医院感染学杂志》2019年第16期2491-2494,共4页Chinese Journal of Nosocomiology

基　　金：杭州市富阳区科技发展计划项目(2015SK005)

摘　　要：目的探讨妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇分娩后会阴切口感染的影响因素及预防措施。方法选取2015年1月-2017年12月在医院就诊的GDM孕妇360例,均经阴道分娩和会阴侧切术,收集孕妇临床资料,单因素及多因素logistic回归分析妊娠期糖尿病孕妇切口感染的影响因素。结果 360例GDM孕妇术后会阴切口感染33例,感染率为9.17%;多因素Logistic回归分析结果,年龄、体质量指数、切口长度以及血糖控制情况是GDM孕妇会阴切口感染的影响因素。共检出病原菌33株,主要以金黄色葡萄球菌和表皮葡萄球菌为主,分别占33.33%和27.27%。结论 GDM孕妇分娩后会阴切口感染与患者年龄、体质量指数、切口长度及血糖控制有关,临床工作中应注意高危因素,做好感染的防治工作。OBJECTIVE To explore the influencing factors for perineal incision infection in gestational diabetes mellitus(GDM) women after delivery and put forward the prevention measures. METHODS A total of 360 GDM women who were treated in the hospital from Jan 2015 to Dec 2017 were enrolled in the study, all of the study objects underwent the vaginal delivery and perineal lateral resection, the clinical data were collected, and univariate analysis and multivariate logistic regression analysis were performed for the influencing factors for the incision infection in the GDM women. RESULTS Of the 360 GDM women, 33 had postoperative perineal incision infection, with the infection rate 9.17%.The result of multivariate logistic regression analysis showed that the age, body mass index, length of incision and status of control of blood glucose were the influencing factors for the perineal incision infection in the GDM women.Totally 33 strains of pathogens were isolated, 33.33% of which were Staphylococcus aureus, and 27.27% were Staphylococcus epidermidis. CONCLUSION The postpartum perineal incision infection in the GDM women is associated with the age, body mass index, length of incision and control of blood glucose.It is necessary for the hospital to attach great importance to the high risk factors and take effective prevention measures.

关 键 词：妊娠期糖尿病 会阴侧切术 阴道分娩 切口感染 影响因素 

分 类 号：R714.256[医药卫生—妇产科学]