已婚已育女性放置宫内节育器后生殖道感染的危险因素及对策分析  

Analysis of risk factors and countermeasures of reproductive tract infection after intrauterine device placement in married and fertile women

作　　者：王茜 WANG Xi(Yuyang Maternal and Child Health Hospital,Yulin 719000,China)

机构地区：[1]陕西省榆林市榆阳区妇幼保健院,陕西榆林719000

出　　处：《临床医学研究与实践》2021年第3期22-24,共3页Clinical Research and Practice

摘　　要：目的分析已婚已育女性放置宫内节育器(IUD)后生殖道感染的危险因素,并探讨预防生殖道感染的对策。方法回顾性分析2016年1月至2019年1月在我院放置IUD的200例已婚已育女性的临床资料,根据其放置IUD后是否发生生殖道感染分为观察组(发生生殖道感染)与对照组(未发生生殖道感染),对放置IUD后生殖道感染的危险因素进行分析。结果在放置IUD后1年内,生殖道感染发生率为14.50%。两组的年龄、糖尿病、贫血、IUD放置时间、术后预防性应用抗生素、术后1个月内盆浴、术后1个月内性生活、性伴侣数量等资料比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄、糖尿病、贫血、IUD放置时间、术后预防性应用抗生素、术后1个月内盆浴、术后1个月内性生活、性伴侣数量是已婚已育女性放置IUD后生殖道感染的独立影响因素(P<0.05)。结论已婚已育女性放置IUD后受到年龄、糖尿病、贫血、宫内节育器放置时间、术后未预防性应用抗生素、多个性伴侣、术后1个月内盆浴及性生活等因素的影响,易发生生殖道感染,临床上应根据其危险因素采取针对性干预对策,以减少IUD放置后生殖道感染的发生。Objective To analyze the risk factors of reproductive tract infection after intrauterine device(IUD)placement in married and fertile women,and to explore the countermeasures to prevent reproductive tract infection.Methods The clinical data of 200 married and fertile women with IUD placed in our hospital from January 2016 to January 2019 were retrospectively analyzed.According to whether there was reproductive tract infection after IUD placement,the women were divided into observation group(with reproductive tract infection)and control group(without reproductive tract infection).The risk factors of reproductive tract infection after IUD placement were analyzed.Results Within one year after IUD placement,the incidence of reproductive tract infection was 14.50%.There were significant differences in the date of age,diabetes,anemia,IUD placement time,prophylactic use of antibiotics after operation,pelvic bath and sexual life within 1 month after operation,and number of sexual partners between the two groups(P<0.05).The multivariate Logistic regression analysis showed that age,diabetes,anemia,IUD placement time,prophylactic use of antibiotics after operation,pelvic bath and sexual life within 1 month after operation,and number of sexual partners were the independent influencing factors for reproductive tract infection in married and fertile women after IUD placement(P<0.05).Conclusion After the IUD placement,the married and fertile women were prone to reproductive tract infection due to age,diabetes,anemia,IUD placement time,no prophylactic use of antibiotics after operation,multiple sexual partners,bath and sexual life within 1 month after operation.In order to reduce the incidence of reproductive tract infection after IUD placement,it is necessary to take targeted interventions according to the risk factors in clinic.

关 键 词：宫内节育器 已婚已育女性 生殖道感染 

分 类 号：R711.31[医药卫生—妇产科学]