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
7期
1647-1649
,共3页
无痛人流%药物流产%医院感染
無痛人流%藥物流產%醫院感染
무통인류%약물유산%의원감염
Painless abortion%Medicinal abortion%Nosocomial infections
目的：探讨无痛人流与药物流产在降低术后子宫及附件感染中应用研究，为降低孕妇术后子宫及其附件感染的发生率提供依据。方法选取2013年6－12月2100例流产孕妇进行分析，其中无痛人流1800例为无痛人流组，药物流产孕妇300例为药物流产组，观察无痛人流和药物流产后孕妇医院感染和子宫及附件的感染情况，以及相关病原菌分布，采用SPSS 17．0软件进行统计分析。结果无痛人流组孕妇有52例发生医院感染、感染率2．89％，其中子宫及其附件感染31例、感染率为1．72％，药物流产组有17例感染、感染率13．33％，其中子宫及其附件感染23例、感染率为7．67％，药流组孕妇医院感染、子宫及其附件感染发生率显著高于无痛人流组，差异有统计学意义（ P＜0．05）；共培养出76株病原菌，其中以革兰阴性菌为主，共45株占59．21％。结论采用无痛人流不仅可以降低孕妇流产中的疼痛，而且在降低孕妇医院感染发生率、降低子宫及其附件的感染发生率有着显著的作用，提高了孕妇后期的生活质量。
目的：探討無痛人流與藥物流產在降低術後子宮及附件感染中應用研究，為降低孕婦術後子宮及其附件感染的髮生率提供依據。方法選取2013年6－12月2100例流產孕婦進行分析，其中無痛人流1800例為無痛人流組，藥物流產孕婦300例為藥物流產組，觀察無痛人流和藥物流產後孕婦醫院感染和子宮及附件的感染情況，以及相關病原菌分佈，採用SPSS 17．0軟件進行統計分析。結果無痛人流組孕婦有52例髮生醫院感染、感染率2．89％，其中子宮及其附件感染31例、感染率為1．72％，藥物流產組有17例感染、感染率13．33％，其中子宮及其附件感染23例、感染率為7．67％，藥流組孕婦醫院感染、子宮及其附件感染髮生率顯著高于無痛人流組，差異有統計學意義（ P＜0．05）；共培養齣76株病原菌，其中以革蘭陰性菌為主，共45株佔59．21％。結論採用無痛人流不僅可以降低孕婦流產中的疼痛，而且在降低孕婦醫院感染髮生率、降低子宮及其附件的感染髮生率有著顯著的作用，提高瞭孕婦後期的生活質量。
목적：탐토무통인류여약물유산재강저술후자궁급부건감염중응용연구，위강저잉부술후자궁급기부건감염적발생솔제공의거。방법선취2013년6－12월2100례유산잉부진행분석，기중무통인류1800례위무통인류조，약물유산잉부300례위약물유산조，관찰무통인류화약물유산후잉부의원감염화자궁급부건적감염정황，이급상관병원균분포，채용SPSS 17．0연건진행통계분석。결과무통인류조잉부유52례발생의원감염、감염솔2．89％，기중자궁급기부건감염31례、감염솔위1．72％，약물유산조유17례감염、감염솔13．33％，기중자궁급기부건감염23례、감염솔위7．67％，약류조잉부의원감염、자궁급기부건감염발생솔현저고우무통인류조，차이유통계학의의（ P＜0．05）；공배양출76주병원균，기중이혁란음성균위주，공45주점59．21％。결론채용무통인류불부가이강저잉부유산중적동통，이차재강저잉부의원감염발생솔、강저자궁급기부건적감염발생솔유착현저적작용，제고료잉부후기적생활질량。
OBJECTIVE To analyze the application of painless and medicinal abortions in reducing postoperative infections of uterus and accessories ,so as to provide reference for reducing postoperative infections of uterus and accessories in pregnant women .METHODS Totally 2100 patients with abortion from Jun .2013 to Dec .2013 in our hospital were studied including 1800 cases with painless abortion and 300 with medicinal abortion .Postopera‐tive infections of uterus and accessories as well as the distribution of related pathogens were observed .The soft‐ware SPSS17 .0 was used for statistical analysis .RESULTS The painless abortion group had 21 cases of nosocomial infections with the infection rate of 1 .17% including 31 cases of infections of uterus and its accessories with the rate of 1 .72% ,while the medicinal abortion group had 17 cases of infections with the infection rate of 5 .67% in‐cluding 23 cases of infections in uterus and its accessories with the rate of 7 .67% .The incidence of nosocomial in‐fections and infections of uterus and its accessories was higher in the medicinal abortion group than in the painless abortion group .Totally 76 pathogens were cultured ,mainly including 45 gram‐negative bacteria accounting for 59 .21% .CONCLUSION Painless abortion not only can reduce pain during abortion ,but also has significance in re‐ducing the incidence of nosocomial infections and infections of uterus and its accessories ,enhancing the quality of life in patients .
