摘要
目的分析产褥感染的相关影响因素,探讨治疗策略及预防措施。方法对荆门市康复医院2010年1月至2013年2月间收治的2 849例产妇中的30例产褥感染患者进行随诊,观察产褥感染的相关因素及治疗方法,并制定相应预防措施。结果不同分娩方式、妊娠并发症、第二产程延长、产前贫血、产后出血、胎膜早破、孕期患有阴道炎、羊水污染、剖宫产≥2次均可增加产褥感染几率,x^2值依次为15.53、4.54、8.39、38.95、8.96、15.07、13.59、8.64、5.88,均P<0.05。在30例产褥感染患者中,治愈27例,3例患者经过再次手术后痊愈。未见死亡病例。结论产褥感染诱发因素众多,需孕期至产后综合预防。对胎膜早破、第二产程延长及羊水污染等高危因素要积极应对,合理应用抗生素,降低产后不良事件发生。
Objective To analyze the influencing factors of puerperal infection and to discuss the treatment and preventive measures. Methods Among 2 849 cases of pregnant women in Hubei Jinmen Convalescent Hospital from January 2010 to February 2013, 30 cases of puerperal infection were followed up to observe the related factors of puerperal infection and to formulate corresponding preventive measures. Results Delivery mode, pregnancy complications, prolonged second stage of labor, prenatal anemia, postpartum hemorrhage, premature rupture of fetal membranes during pregnancy, pregnancy suffering from vaginitis, amniotic fluid contamination, cesarean section ≥2 could increase the risk of puerperal infection （ X2 value was 15.53, 4.54, 8.39, 38.95, 8.96, 15.07, 13.59, 8.64 and 5.88, respectively, all P 〈0.05）. Among these 30 cases, 27 cases were cured, and the other 3 were cured after second operation. No death case was found. Conclusion Puerperal infection is induced by many factors, so it should be prevented during the pregnancy and after delivery, Risk factors such as premature rupture of membranes, prolonged second stage of labor and amniotic fluid contamination should be treated actively, and antibiotics should be used reasonably to reduce the incidence of adverse events.
出处
《中国妇幼健康研究》
2014年第4期687-689,共3页
Chinese Journal of Woman and Child Health Research
关键词
产褥感染
预防措施
治疗
影响因素
puerperal infection
preventive measures
treatment
influencing factors
