中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
855-857
,共3页
产后%发热%感染%治疗
產後%髮熱%感染%治療
산후%발열%감염%치료
postpartum%fever%infection%treatment
目的 探讨产后发热的原因和临床治疗方法及预防措施. 方法 选择绍兴第二医院2011年1月1日至2013年12月31日512例产后发热患者的临床资料进行回顾性分析,并对结果进行分析. 结果 2011至2013年分娩产妇共3 381例,其中发热512例,发热率为15.14%;发生医院感染31例,感染率为0.92%. 3年来发热率及感染率均逐年下降,其中发热率差异有统计学意义(χ2 =16.236,P<0.05),而感染率差异无统计学意义(χ2 =1.503,P>0.05). 呼吸系统感染最多,占41.93%;手术切口次之,占22.58%. 剖宫产中发热率(21.99%)明显高于阴道分娩(10.38%),两组比较差异有统计学意义(χ2 =85.786,P<0.05);剖宫产中感染率(1.23%)明显高于阴道分娩(0.70%),两组比较差异无统计学意义(χ2 =2.479,P>0.05). 结论 产后发热是常见并发症,发热原因以非感染性因素为主;感染原因前3位是上呼吸道感染、剖宫产切口感染及泌尿道感染,采取针对病因的合理治疗能够取得较好的临床效果;加强病房管理及宣教工作,严格掌握剖宫产指征,遵循无菌操作,积极治疗合并症,可降低产后发热及医院感染的发生.
目的 探討產後髮熱的原因和臨床治療方法及預防措施. 方法 選擇紹興第二醫院2011年1月1日至2013年12月31日512例產後髮熱患者的臨床資料進行迴顧性分析,併對結果進行分析. 結果 2011至2013年分娩產婦共3 381例,其中髮熱512例,髮熱率為15.14%;髮生醫院感染31例,感染率為0.92%. 3年來髮熱率及感染率均逐年下降,其中髮熱率差異有統計學意義(χ2 =16.236,P<0.05),而感染率差異無統計學意義(χ2 =1.503,P>0.05). 呼吸繫統感染最多,佔41.93%;手術切口次之,佔22.58%. 剖宮產中髮熱率(21.99%)明顯高于陰道分娩(10.38%),兩組比較差異有統計學意義(χ2 =85.786,P<0.05);剖宮產中感染率(1.23%)明顯高于陰道分娩(0.70%),兩組比較差異無統計學意義(χ2 =2.479,P>0.05). 結論 產後髮熱是常見併髮癥,髮熱原因以非感染性因素為主;感染原因前3位是上呼吸道感染、剖宮產切口感染及泌尿道感染,採取針對病因的閤理治療能夠取得較好的臨床效果;加彊病房管理及宣教工作,嚴格掌握剖宮產指徵,遵循無菌操作,積極治療閤併癥,可降低產後髮熱及醫院感染的髮生.
목적 탐토산후발열적원인화림상치료방법급예방조시. 방법 선택소흥제이의원2011년1월1일지2013년12월31일512례산후발열환자적림상자료진행회고성분석,병대결과진행분석. 결과 2011지2013년분면산부공3 381례,기중발열512례,발열솔위15.14%;발생의원감염31례,감염솔위0.92%. 3년래발열솔급감염솔균축년하강,기중발열솔차이유통계학의의(χ2 =16.236,P<0.05),이감염솔차이무통계학의의(χ2 =1.503,P>0.05). 호흡계통감염최다,점41.93%;수술절구차지,점22.58%. 부궁산중발열솔(21.99%)명현고우음도분면(10.38%),량조비교차이유통계학의의(χ2 =85.786,P<0.05);부궁산중감염솔(1.23%)명현고우음도분면(0.70%),량조비교차이무통계학의의(χ2 =2.479,P>0.05). 결론 산후발열시상견병발증,발열원인이비감염성인소위주;감염원인전3위시상호흡도감염、부궁산절구감염급비뇨도감염,채취침대병인적합리치료능구취득교호적림상효과;가강병방관리급선교공작,엄격장악부궁산지정,준순무균조작,적겁치료합병증,가강저산후발열급의원감염적발생.
Objective To explore the causes, clinical treatment methods and preventive measures of postpartum fever.Methods From January 1, 2011 to December 31, 2013, the clinical data of 512 cases of postpartum fever in Shaoxing Second Hospital were retrospectively analyzed, and the results were analyzed.Results There were 3 381 cases of maternal childbirth from 2011 to 2013, including 512 cases of fever and the fever rate was 15.14%.Hospital infection occurred in 31 cases, and the infection rate was 0.92%.In 3 years the fever rate and infection rate declined year by year, and there was significant difference in fever rate (χ2 =16.236,P<0.05).But the infection rate showed no statistical significance in different years (χ2 =1.503,P >0.05).Respiratory infection was most common, accounting for 41.93%, followed by operation incision, accounting for 22.58%.The fever rate of cesarean section (21.99%) was significantly higher than that of vaginal delivery (10.38%), and there was significant difference between two groups (χ2 =85.786,P<0.05).Infection rate of cesarean section (1.23%) was significantly higher than that of vaginal delivery (0.70%), but the difference between two groups was not significant (χ2 =2.479,P>0.05).Conclusion Postpartum fever is a common complication, and most of the causes of fever are non infectious factors.The first three causes of infection are upper respiratory tract infection, cesarean section incision infection and urinary tract infection.Reasonable etiology treatment for causes can achieve good clinical effect.The incidence of postpartum fever and hospital infection can be reduced by strengthening management and education, strictly grasping the indications for cesarean section, following aseptic operation, and active treatment of complications.
