妊娠期高血压疾病孕妇剖宫产术后感染相关因素的logistic回归分析及应对措施  

Logistic regression analysis of infection-related factors after cesarean section in pregnant women with hypertensive disorder complicating pregnancy and its countermeasures

作　　者：木培千 林乐静 蒋欢欢 MU Pei-qian;LIN Le-jing;JIANG Huan-huan(Wenzhou Hospital of Integrated Chinese and Western Medicine,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州市中西医结合医院,浙江温州325000

出　　处：《中国妇幼保健》2024年第4期678-682,共5页Maternal and Child Health Care of China

基　　金：浙江省医药卫生科技计划项目(2020KY923)。

摘　　要：目的观察妊娠期高血压疾病孕妇剖宫产术后感染发生状况,采用logistic回归分析其危险因素,并分析应对措施。方法选取2019年1月—2023年1月温州市中西医结合医院100例接受剖宫产的妊娠期高血压疾病孕妇为研究对象,统计剖宫产术后5 d内感染发生状况,并分为感染组与未感染组,统计两组临床资料,采用logistic回归分析危险因素,并制定相应防范措施。结果100例妊娠期高血压疾病孕妇剖宫产术后5 d内发生感染22例,占22.00%;感染组生殖道感染、失血量≥1000 ml、术前使用抗菌药物、手术时间≥1 h构成比高于未感染组(χ^(2)=4.680,4.519,5.839,8.939,均P<0.05);感染组白细胞计数水平高于未感染组(t=5.075,P<0.05);经logistic回归分析结果显示,生殖道感染、失血量、手术时间及白细胞计数是妊娠期高血压疾病孕妇剖宫产术后发生感染的危险因素(OR>1,P<0.05),术前使用抗菌药物是保护因素(OR<1,P<0.05)。结论生殖道感染、失血量、手术时间及白细胞计数是妊娠期高血压疾病孕妇剖宫产术后发生感染的危险因素,应针对上述风险因素制定对应策略,合理使用抗菌药物,以降低术后感染发生率。Objective To observe the incidence of infection after cesarean section in pregnant women with hypertensive disorder complicating pregnancy,and analyze the risk factors and countermeasures by logistic regression.Methods A total of 100 pregnant women with hypertensive disorder complicating pregnancy undergoing cesarean section From January 2019 to January 2023 were included in the study.The infection status was analyzed within 5d after cesarean section and divided into infected group and non-infected group.The clinical data of the two groups were analyzed by logistic regression analysis,and the corresponding preventive measures were formulated.Results Among the 100 cases of pregnancy induced hypertension,22 cases(22.00%)developed infection within 5d after cesarean section.The proportion of patients with reproductive tract infection,blood loss≥1000 ml,preoperative use of antibiotics,and operation time≥1 h in the infection group was higher than that in the non-infection group(χ^(2)=4.680,4.519,5.839,8.939,all P<0.05).The white blood cell count in the infected group was higher than that in the uninfected group(t=5.075,P<0.05).The results of logistic regression analysis showed that reproductive tract infection,blood loss,operation time and white blood cell count were the risk factors for infection in pregnant women with hypertensive disorder complicating pregnancy after cesarean section(OR>1,P<0.05),and the preoperative use of antibacterial drugs was the protective factor(OR<1,P<0.05).Conclusion Reproductive tract infection,blood loss,operation time and white blood cell count are the risk factors of infection in pregnant women with hypertensive disorder complicating pregnancy after cesarean section.Therefore,we should formulate corresponding strategies for the risk factors and reasonably use antibacterial drugs to reduce the incidence of postoperative infection.

关 键 词：妊娠期高血压疾病 剖宫产 术后感染 危险因素 应对措施 

分 类 号：R714[医药卫生—妇产科学]