剖宫产术后产妇医院感染调查与控制
发布时间：2019-07-15 21:05
【摘要】：目的探讨产妇行剖宫产术后医院感染因素及预防控制措施,为医院感染控制工作提供参考依据。方法选取在2012-2014年行剖宫产手术的产妇1 942例作为研究对象,对其术后医院感染率、感染部位等进行分析比较;采用SPSS 13.0软件进行统计分析。结果剖宫产术后产妇医院感染140例,感染率为7.2%,且呈逐年上升趋势;在术后发生医院感染的产妇中,以生殖道感染最多,占44.3%;单因素分析显示,产妇的年龄、妊娠并发症、住院时间、试产时间、放置导尿管、急诊手术、医务人员手术熟练程度及抗菌药物应用时机等与术后医院感染的发生具有相关性(P0.05);多因素logistic回归分析显示,有妊娠并发症、放置导尿管、手术技术不熟练、术后应用抗菌药物预防感染是剖宫产产妇术后医院感染的独立危险因素。结论剖宫产产妇术后医院感染率较高,其发生与多种因素有关,临床医师根据产妇的高危因素采取相应的干预措施,可有效降低医院感染的发生。
[Abstract]:Objective to explore the factors of hospital infection and its prevention and control measures after hysterectomy in parturients, and to provide reference for the control of hospital infection. Methods 1 942 parturients undergoing cesarean section in 2012 / 2014 were selected as the subjects of study, and the postoperative hospital infection rate and infection site were analyzed and compared, and SPSS 13.0 software was used for statistical analysis. Results there were 140 parturients with hospital infection after cesarean section, the infection rate was 7.2%, and it showed an increasing trend year by year. Among the parturients with hospital infection after cesarean section, reproductive tract infection was the most common, accounting for 44.3%. Univariate analysis showed that the age of parturients, pregnancy complications, hospitalization time, trial delivery time, catheterization, emergency surgery, surgical proficiency of medical staff and the timing of antibiotics use were correlated with the occurrence of postoperative hospital infection (P 0.05). Multivariate logistic regression analysis showed that there were pregnancy complications, catheter placement, unskilled surgical techniques, postoperative use of antibiotics to prevent infection is an independent risk factor for postoperative hospital infection in cesarean section parturients. Conclusion the hospital infection rate of cesarean section parturients is high, and its occurrence is related to many factors. Clinicians can effectively reduce the occurrence of hospital infection by taking corresponding intervention measures according to the high risk factors of parturients.
【作者单位】： 杭州市江干区人民医院妇产科;
【基金】：浙江省教育厅基金资助项目(Y201431433)
【分类号】：R719.8
[Abstract]:Objective to explore the factors of hospital infection and its prevention and control measures after hysterectomy in parturients, and to provide reference for the control of hospital infection. Methods 1 942 parturients undergoing cesarean section in 2012 / 2014 were selected as the subjects of study, and the postoperative hospital infection rate and infection site were analyzed and compared, and SPSS 13.0 software was used for statistical analysis. Results there were 140 parturients with hospital infection after cesarean section, the infection rate was 7.2%, and it showed an increasing trend year by year. Among the parturients with hospital infection after cesarean section, reproductive tract infection was the most common, accounting for 44.3%. Univariate analysis showed that the age of parturients, pregnancy complications, hospitalization time, trial delivery time, catheterization, emergency surgery, surgical proficiency of medical staff and the timing of antibiotics use were correlated with the occurrence of postoperative hospital infection (P 0.05). Multivariate logistic regression analysis showed that there were pregnancy complications, catheter placement, unskilled surgical techniques, postoperative use of antibiotics to prevent infection is an independent risk factor for postoperative hospital infection in cesarean section parturients. Conclusion the hospital infection rate of cesarean section parturients is high, and its occurrence is related to many factors. Clinicians can effectively reduce the occurrence of hospital infection by taking corresponding intervention measures according to the high risk factors of parturients.
【作者单位】： 杭州市江干区人民医院妇产科;
【基金】：浙江省教育厅基金资助项目(Y201431433)
【分类号】：R719.8
【参考文献】
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1 易凤琼;邬舟s，
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