无痛分娩产妇生产期间导致产妇出现发热的影响因素与预防措施  

Influencing Factors and Preventive Measures of Fever during Painless Delivery

作　　者：宋汝丹 张英[1,2,3] 王艳玲 王爱萍[1,4,5] 陈成[1,4,5] SONG Ru-dan;ZHANG Ying;WANG Yan-ling;WANG Ai-ping;CHEN Cheng(Department of Obstetrics and Gynecology,First Affiliated Hospital of Anhui Medical University,Hefei,Anhui,230000,China;National Health Commission Key Laboratory of Gametes and Reproductive Tract Abnormalities,Hefei,Anhui,230000,China;Ministry of Education Key Laboratory of Health for Birth Population,Hefei,Anhui,230000,China;Key Laboratory of Reproductive Health and Genetics of Anhui Province,Hefei,Anhui,230000,China;Anhui Research Center for Life Resources Preservation and Artificial Organ Engineering Technology(Anhui Medical University),Hefei,Anhui,230000,China)

机构地区：[1]安徽医科大学第一附属医院妇产科,安徽合肥230000 [2]国家卫生健康委配子及生殖道异常研究重点实验室,安徽合肥230000 [3]出生人口健康教育部重点实验室,安徽合肥230000 [4]生殖健康与遗传安徽省重点实验室,安徽合肥230000 [5]安徽省生命资源保存与人工器官工程技术研究中心(安徽医科大学),安徽合肥230000

出　　处：《现代生物医学进展》2022年第4期678-683,共6页Progress in Modern Biomedicine

基　　金：中国医学科学院中央级公益性科研院所基本科研业务费专项资金资助项目(2019PT310002);安徽省转化医学研究院科研基金项目(2019PT310002);安徽省重点研究和开发计划项目(201904a07020046)。

摘　　要：目的:探讨无痛分娩产妇生产期间导致产妇出现发热的影响因素与预防措施。方法:选取我院2020年1月到2020年12月共收治的60例无痛分娩生产期间发热的产妇作为研究对象,将其分为观察组,另取同期60例无痛分娩生产期间未发生发热的产妇作为对照组。对所有产妇进行临床资料分析,对比两组产妇的人口学特征、妊娠基础疾病情况以及产时不同情况,并对所有相关因素进行多因素logistic回归分析。最后进行总结分析,并提出无痛分娩产妇生产期间发热的预防措施。结果:两组产妇的年龄、孕周、孕次、死胎史对比无明显差异(P>0.05),观察组产妇有保胎史的例数明显高于对照组,观察组产次明显低于对照组(P<0.05);两组产妇妊娠期贫血、妊娠期甲状腺功能异常、妊娠期高血压、妊娠期糖尿病、早产情况对比无明显差异(P>0.05),观察组胎膜早破产妇人数明显高于对照组(P<0.05);观察组产妇的第一产程时间、第二产程时间以及胎膜早破距离分娩时间明显高于对照组(P<0.05),观察组产妇的常规剂量罗哌卡因麻醉使用、人工破膜、宫缩素使用以及羊水污染人数明显高于对照组(P<0.05);对所有因素进行赋值,其中"是"或"有"为1,"否"或"无"为0,其他因素依照数值变量赋值。通过logistic回归分析发现,只有保胎史、产次、第一产程时间、第二产程时间、胎膜早破据分娩时间、硬膜外麻醉药物、宫缩素使用以及羊水污染为无痛分娩生产期间产妇发热的独立危险因素(P<0.05)。结论:无痛分娩产妇的胎膜早破情况、破膜方式可能与产妇出现发热的情况具有一定相关性,但是只有保胎史、产次、第一产程时间、第二产程时间、胎膜早破据分娩时间、硬膜外麻醉药物、宫缩素使用以及羊水污染是产妇出现发热情况的独立危险因素,因此临床上要对初产妇、有保胎史、产程时间长、胎膜早破据Objective:To explore the influencing factors and preventive measures of fever during painless delivery.Methods:60cases of parturients with fever during painless childbirth in our hospital from January 2020 to December 2020 were selected as the research objects,and they were divided into the observation group,and another 60 cases of parturients without fever during painless childbirth in the same period were selected as the control group.Clinical data analysis was carried out for all the puerpera.The demographic characteristics,basic diseases of pregnancy and different conditions during labor of the two groups were compared,and all the related factors were analyzed by multivariate logistic regression.Finally,summarize and analyze,and put forward the prevention measures of painless childbirth maternal fever during production.Results:There was no significant difference in age,gestational weeks,times of pregnancy and stillbirth history between the two groups(P>0.05).The number of cases with history of fetal protection in the observation group was significantly higher than that in the control group,and the times of labor in the observation group was significantly lower than that in the control group(P<0.05).There was no significant difference in anemia,thyroid gland dysfunction,hypertension,diabetes mellitus and premature delivery between the two groups(P>0.05),the number of pregnant women with premature rupture of membranes in the observation group was significantly higher than that in the control group(P<0.05);the time of the first stage of labor,the second stage of labor and the delivery time of premature rupture of membranes in the observation group were significantly higher than those in the control group(P<0.05);the number of pregnant women in the observation group with routine dose of ropivacaine anesthesia,artificial rupture of membranes,use of oxytocin and amniotic fluid pollution were significantly higher than those in the control group All factors were assigned values,in which"yes"was 1,and"no"was 0.Logisti

关 键 词：无痛分娩 产妇 产间发热 预防措施 影响因素 

分 类 号：R714.3[医药卫生—妇产科学]