中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
4期
687-689
,共3页
产褥感染%预防措施%治疗%影响因素
產褥感染%預防措施%治療%影響因素
산욕감염%예방조시%치료%영향인소
puerperal infection%preventive measures%treatment%influencing factors
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2849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，χ2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。
目的：分析產褥感染的相關影響因素，探討治療策略及預防措施。方法對荊門市康複醫院2010年1月至2013年2月間收治的2849例產婦中的30例產褥感染患者進行隨診，觀察產褥感染的相關因素及治療方法，併製定相應預防措施。結果不同分娩方式、妊娠併髮癥、第二產程延長、產前貧血、產後齣血、胎膜早破、孕期患有陰道炎、羊水汙染、剖宮產≥2次均可增加產褥感染幾率，χ2值依次為15．53、4．54、8．39、38．95、8．96、15．07、13．59、8．64、5．88，均P＜0．05。在30例產褥感染患者中，治愈27例，3例患者經過再次手術後痊愈。未見死亡病例。結論產褥感染誘髮因素衆多，需孕期至產後綜閤預防。對胎膜早破、第二產程延長及羊水汙染等高危因素要積極應對，閤理應用抗生素，降低產後不良事件髮生。
목적：분석산욕감염적상관영향인소，탐토치료책략급예방조시。방법대형문시강복의원2010년1월지2013년2월간수치적2849례산부중적30례산욕감염환자진행수진，관찰산욕감염적상관인소급치료방법，병제정상응예방조시。결과불동분면방식、임신병발증、제이산정연장、산전빈혈、산후출혈、태막조파、잉기환유음도염、양수오염、부궁산≥2차균가증가산욕감염궤솔，χ2치의차위15．53、4．54、8．39、38．95、8．96、15．07、13．59、8．64、5．88，균P＜0．05。재30례산욕감염환자중，치유27례，3례환자경과재차수술후전유。미견사망병례。결론산욕감염유발인소음다，수잉기지산후종합예방。대태막조파、제이산정연장급양수오염등고위인소요적겁응대，합리응용항생소，강저산후불량사건발생。
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 ( χ2 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 .
