母婴同室新生儿院内获得性肺炎调查及其高危因素分析
发布时间：2018-07-14 07:14
【摘要】：目的研究与分析母婴同室新生儿院内获得性肺炎现状及其高危因素,为该类新生儿院内获得性肺炎的预防控制提供依据。方法选取2015年4月-2016年7月医院母婴同室的386例新生儿为研究对象,将其中院内获得性肺炎发生率进行统计,并比较不同胎龄、分娩方式、体重、Apgar评分、母体妊娠期疾病情况、产程长短及是否胎膜早破者的发生率,同时采用logistic回归分析处理上述7项因素与母婴同室新生儿院内获得性肺炎的关系。结果 386例母婴同室新生儿中共发生院内获得性肺炎18例,发生率为4.66%,且不同胎龄、分娩方式、体重、Apgar评分、母体妊娠期疾病情况、产程长短及是否胎膜早破者的发生率存在显著性差异,同时采用logistic回归分析显示,上述7项因素均与母婴同室新生儿院内获得性肺炎有密切关系,差异有统计学意义(P0.05)。结论母婴同室新生儿院内获得性肺炎的发生率仍不低,且胎龄、分娩方式、体重、Apgar评分、母体妊娠期疾病情况、产程长短及是否胎膜早破均对其发生影响较大,故应重视上述因素的干预。
[Abstract]:Objective to study and analyze the present situation and high risk factors of nosocomial pneumonia in neonates with mother and infant, and to provide evidence for prevention and control of nosocomial pneumonia. Methods 386 newborns in the same room of mother and infant in hospital from April 2015 to July 2016 were selected as the study objects. The incidence of nosocomial pneumonia was counted, and the different gestational age, delivery mode, weight and Apgar score, and maternal disease were compared. The length of labor and the incidence of premature rupture of membranes were analyzed by logistic regression analysis. The relationship between the seven factors and the nosocomial pneumonia of neonates in the same room was analyzed by logistic regression analysis. Results there were 18 cases of nosocomial pneumonia in 386 newborns in the same room of mother and infant, the incidence rate was 4.66, and there were different gestational ages, delivery patterns, weight and Apgar scores, and maternal diseases during pregnancy. There were significant differences in the length of labor and the incidence of premature rupture of membranes. Logistic regression analysis showed that the above seven factors were closely related to neonatal nosocomial pneumonia of mother and infant (P0.05). Conclusion the incidence of nosocomial pneumonia in neonates with mother and child is still not low, and the birth age, delivery mode, weight and Apgar score, maternal diseases during pregnancy, length of labor and premature rupture of membranes have great influence on the occurrence of pneumonia. Therefore, attention should be paid to the intervention of the above factors.
【作者单位】： 杭州师范大学附属医院产科;
【基金】：浙江省中医药科学研究基金资助项目(2013ZB074)
【分类号】：R722.135
本文编号：2120885
[Abstract]:Objective to study and analyze the present situation and high risk factors of nosocomial pneumonia in neonates with mother and infant, and to provide evidence for prevention and control of nosocomial pneumonia. Methods 386 newborns in the same room of mother and infant in hospital from April 2015 to July 2016 were selected as the study objects. The incidence of nosocomial pneumonia was counted, and the different gestational age, delivery mode, weight and Apgar score, and maternal disease were compared. The length of labor and the incidence of premature rupture of membranes were analyzed by logistic regression analysis. The relationship between the seven factors and the nosocomial pneumonia of neonates in the same room was analyzed by logistic regression analysis. Results there were 18 cases of nosocomial pneumonia in 386 newborns in the same room of mother and infant, the incidence rate was 4.66, and there were different gestational ages, delivery patterns, weight and Apgar scores, and maternal diseases during pregnancy. There were significant differences in the length of labor and the incidence of premature rupture of membranes. Logistic regression analysis showed that the above seven factors were closely related to neonatal nosocomial pneumonia of mother and infant (P0.05). Conclusion the incidence of nosocomial pneumonia in neonates with mother and child is still not low, and the birth age, delivery mode, weight and Apgar score, maternal diseases during pregnancy, length of labor and premature rupture of membranes have great influence on the occurrence of pneumonia. Therefore, attention should be paid to the intervention of the above factors.
【作者单位】： 杭州师范大学附属医院产科;
【基金】：浙江省中医药科学研究基金资助项目(2013ZB074)
【分类号】：R722.135
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