产妇术后医院感染分析及控制研究

发布时间：2018-06-19 17:21

本文选题：剖宫产术后 + 医院感染　；参考：《中华医院感染学杂志》2014年22期

【摘要】：目的探讨剖宫产术后医院感染的主要原因,并采取有效的应对策略,为预防和控制剖宫产术后医院感染提供科学有效的依据。方法回顾性分析2011年6月-2013年6月行剖宫产术的3 502例产妇临床资料,数据分析采用SPSS11.0统计软件。结果 3 502例剖宫产产妇术后共发生医院感染108例,感染率3.08%;医院感染的部位依次为呼吸道、泌尿系统、手术切口、生殖道感染,分别占41.67%、28.70%、16.67%、12.96%;医院感染的原因有高龄、体质量指数高、胎盘异常、胎膜早破、妊娠期糖尿病、妊娠高血压综合征、贫血、手术前阴道指诊次数、术前导尿次数、术中出血量、术后尿管留置时间及手术时间。结论剖宫产术后发生医院感染的原因较多,与产妇高龄、肥胖、术前多次阴道指诊和导尿、合并糖尿病等多种内科合并症等因素有关,针对高危因素积极采取相应的应对策略给予预防,可降低医院感染的发生率。
[Abstract]:Objective to explore the main causes of nosocomial infection after cesarean section and to take effective countermeasures to provide scientific and effective basis for prevention and control of nosocomial infection after cesarean section. Methods the clinical data of 3 502 parturients undergoing cesarean section from June 2011 to June 2013 were analyzed retrospectively. SPSS 11.0 software was used to analyze the data. Results 108 cases of nosocomial infection occurred in 3 502 cases of cesarean section, the infection rate was 3.08. The nosocomial infection occurred in the respiratory tract, urinary system, surgical incision and genital tract infection, which accounted for 41.67% and 28.70% and 16.67% 12.96 respectively, the causes of nosocomial infection were advanced age. High body mass index, abnormal placenta, premature rupture of membranes, gestational diabetes mellitus, pregnancy-induced hypertension syndrome, anemia, the number of vaginal finger visits before operation, the number of catheterization before operation, the amount of intraoperative bleeding, the time of catheter indwelling after operation and the time of operation. Conclusion there are many causes of nosocomial infection after cesarean section, which are related to many factors, such as advanced age of parturient, obesity, multiple preoperative vaginal finger diagnosis and catheterization, complicated with diabetes, and so on. It can reduce the incidence of nosocomial infection by actively adopting corresponding coping strategies to prevent high-risk factors.
【作者单位】：温州市中心医院妇产科;广西妇幼保健院医院产科;
【基金】：浙江省医药科技基金资助项目(Z2011088)
【分类号】：R181.32

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