中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
10期
2364-2366
,共3页
产妇%产褥感染%影响因素%预防控制
產婦%產褥感染%影響因素%預防控製
산부%산욕감염%영향인소%예방공제
Puerpera%Puerperal infection%Influencing factor%Prevention and control
目的：了解产妇产褥期感染的相关影响因素，并分析其临床护理和预防控制策略，为降低产妇产褥期感染提供依据。方法选取2011年1月－2015年1月产科产褥期感染产妇72例，为观察组，选择同期未发生产褥期感染产妇160例，为对照组；统计感染产妇产褥期感染部位分布，对比两组产妇的临床资料进行产褥期感染相关危险因素的分析；采用SPSS11．0软件进行统计分析。结果72例产褥期感染产妇主要感染部位为呼吸系统、生殖道、手术切口、泌尿系统及消化系统，分别占29．17％、26．39％、25．00％、13．89％、5．55％；剖宫产、经产妇、合并妊娠高血压、糖尿病、合并生殖道炎症、产后出血和胎膜早破与产妇产褥期感染具有相关性（P＜0．05）；观察组平均血红蛋白低于对照组，差异有统计学意义（P＜0．05）；观察组平均破膜时间、产程及卧床时间均高于对照组，差异有统计学意义（P＜0．05）。结论产妇产褥期感染的影响因素多，临床应加强产褥期的预防控制及护理，以降低患者感染发生。
目的：瞭解產婦產褥期感染的相關影響因素，併分析其臨床護理和預防控製策略，為降低產婦產褥期感染提供依據。方法選取2011年1月－2015年1月產科產褥期感染產婦72例，為觀察組，選擇同期未髮生產褥期感染產婦160例，為對照組；統計感染產婦產褥期感染部位分佈，對比兩組產婦的臨床資料進行產褥期感染相關危險因素的分析；採用SPSS11．0軟件進行統計分析。結果72例產褥期感染產婦主要感染部位為呼吸繫統、生殖道、手術切口、泌尿繫統及消化繫統，分彆佔29．17％、26．39％、25．00％、13．89％、5．55％；剖宮產、經產婦、閤併妊娠高血壓、糖尿病、閤併生殖道炎癥、產後齣血和胎膜早破與產婦產褥期感染具有相關性（P＜0．05）；觀察組平均血紅蛋白低于對照組，差異有統計學意義（P＜0．05）；觀察組平均破膜時間、產程及臥床時間均高于對照組，差異有統計學意義（P＜0．05）。結論產婦產褥期感染的影響因素多，臨床應加彊產褥期的預防控製及護理，以降低患者感染髮生。
목적：료해산부산욕기감염적상관영향인소，병분석기림상호리화예방공제책략，위강저산부산욕기감염제공의거。방법선취2011년1월－2015년1월산과산욕기감염산부72례，위관찰조，선택동기미발생산욕기감염산부160례，위대조조；통계감염산부산욕기감염부위분포，대비량조산부적림상자료진행산욕기감염상관위험인소적분석；채용SPSS11．0연건진행통계분석。결과72례산욕기감염산부주요감염부위위호흡계통、생식도、수술절구、비뇨계통급소화계통，분별점29．17％、26．39％、25．00％、13．89％、5．55％；부궁산、경산부、합병임신고혈압、당뇨병、합병생식도염증、산후출혈화태막조파여산부산욕기감염구유상관성（P＜0．05）；관찰조평균혈홍단백저우대조조，차이유통계학의의（P＜0．05）；관찰조평균파막시간、산정급와상시간균고우대조조，차이유통계학의의（P＜0．05）。결론산부산욕기감염적영향인소다，림상응가강산욕기적예방공제급호리，이강저환자감염발생。
OBJECTIVE To understand the related influencing factors for the puerperal infections and put forward clinical nursing and control strategies so as to reduce the incidence of the puerperal infections .METHODS A total of 72 puerpera with puerperal infections who were treated in the obstetrics department from Jan 2011 to Jan 2015 were selected as the observation group ,meanwhile ,160 puerpera without puerperal infections were set as the con‐trol group .The distribution of the puerperal infection sites was taken for statistics ,the clinical data of the two groups of patients were compared ,the related risk factors for the puerperal infections were analyzed ,and the sta‐tistical analysis was performed with the use of SPSS11 .0 software .RESULTS Of the 72 patients with puerperal in‐fections ,29 .17% had the respiratory system infections ,26 .39% had the genital tract infections ,25 .00% had the surgical incision infections ,13 .89% had the urinary system infections ,and 5 .55% had the digestive system infec‐tions .The prevalence of the puerperal infections was associated with the cesarean section ,multipara ,complication of gestational hypertension ,diabetic mellitus ,complication of genital tract inflammation ,postpartum hemorrhage , and premature rapture of fetal membranes (P<0 .05) .The average level of hemoglobin of the observation group was significantly lower than that of the control group(P<0 .05);the average time of premature rapture of mem‐branes ,average birth process time ,and average bedridden time of the observation group were significantly longer than those of the control group(P<0 .05) .CONCLUSION There are a variety of influencing factors for the puer‐peral infections;it is necessary for the hospital to strengthen the puerperal nursing so as to reduce the incidence of the infections .
