剖宫产术后并发产褥感染的生殖道支原体感染因素分析

发布时间：2018-11-16 09:21

【摘要】：目的分析剖宫产术后合并产褥感染与患者感染生殖道支原体之间的相关性,为临床诊治提供治疗方法。方法回顾性分析2008年1月~2015年12月在南昌市中西医结合医院行剖宫产术后并发产褥感染的261例患者的临床资料。观察记录患者的实验室检查情况、支原体属及细菌培养鉴定结果,分析其产褥感染高危因素;分析产褥感染的高危因素及与微生物结果的的相关性。结果白细胞计数及中性粒细胞比值均升高者180例(68.96%);84例(43.98%)患者血清C反应蛋白水平升高。261例患者中,73例(27.97%)无明显高危因素,37例(14.18%)仅产程延长。病原学检查结果显示:支原体属培养阳性者186例(71.26%),细菌培养阳性者75例(28.73%)。支原体阳性病例中,Mh阳性107例(57.53%),Uu阳性79例(42.47%);细菌感染中,表皮葡萄球菌所占比例最多,大肠埃希菌次之。支原体阳性患者发热时间3 d的比例明显高于细菌阳性者(P0.05)。结论支原体感染逐渐取代细菌感染成为产褥感染的主要原因,应加强孕前对产妇的管理和治疗,避免高危因素的影响,减少剖宫产术后产褥感染的发生。
[Abstract]:Objective to analyze the correlation between puerperal infection and genital tract mycoplasma infection after cesarean section. Methods the clinical data of 261 patients with puerperal infection after cesarean section from January 2008 to December 2015 were analyzed retrospectively. The laboratory examination results of mycoplasma and bacteria culture were observed and recorded to analyze the high risk factors of puerperal infection and the correlation between the high risk factors of puerperal infection and the microbiological results. Results the leukocyte count and neutrophil ratio were increased in 180 cases (68.96%). The serum C-reactive protein level was increased in 84 patients (43.98%), 73 patients (27.97%) had no significant high risk factors, and 37 patients (14.18%) had prolonged labor process. The results of pathogenic examination showed that 186 cases (71.26%) were positive in mycoplasma culture and 75 cases (28.73%) were positive in bacterial culture. Among the mycoplasma positive cases, Mh was positive in 107 cases (57.53%), Uu in 79 cases (42.47%), and Staphylococcus epidermidis accounted for the most of bacterial infection, followed by Escherichia coli. The febrile time of mycoplasma positive patients was significantly higher than that of bacteria positive patients (P0.05). Conclusion mycoplasma infection is gradually replacing bacterial infection as the main cause of puerperal infection. It is necessary to strengthen the management and treatment of puerpera before pregnancy, avoid the influence of high risk factors, and reduce the incidence of puerperal infection after cesarean section.
【作者单位】：南昌市中西医结合医院妇产科;南昌市中西医结合医院临床检验科;
【分类号】：R719.8

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