剖宫产产妇医院感染原因及干预对策

发布时间：2019-06-15 16:36

【摘要】：目的探讨剖宫产产妇医院感染原因及干预对策,以期为降低剖宫产产妇医院感染发生率提供参考。方法回顾性分析1 241例剖宫产产妇临床资料,分析其医院感染发生率、感染部位及感染原因,采用SPSS 17.0软件进行统计分析。结果 1 241例剖宫产产妇发生医院感染12例,感染率0.97%,感染部位主要为呼吸道、泌尿道、切口、生殖道,分别占41.67%、25.00%、16.67%、8.33%;产妇年龄≥30岁、体质量指数≥25kg/m2、合并有基础疾病、有胎膜早破、阴道检查次数≥3次、产程≥12h、手术时间≥1h、术中出血量≥500ml、术后留置导尿时间≥12h等因素,感染分别占66.67%、66.67%、75.00%、75.00%、83.33%、66.67%、66.67%、66.67%、75.00%;单因素分析结果显示,以上因素的存在均是引起剖宫产产妇发生医院感染的高危因素(P0.05)。结论剖宫产产妇发生医院感染的原因主要为高龄、肥胖、合并基础疾病、有胎膜早破、阴道检查次数多、产程及手术时间较长、术中出血量较多、术后留置导尿时间较长,对以上因素制定出相应的干预及护理措施,是降低剖宫产产妇医院感染的主要方法。
[Abstract]:Objective to explore the causes and intervention strategies of hospital infection in cesarean section parturients in order to provide reference for reducing the incidence of hospital infection in cesarean section parturients. Methods the clinical data of 1 241 parturients undergoing cesarean section were analyzed retrospectively. the incidence of hospital infection, the location of infection and the causes of infection were analyzed by SPSS 17.0 software. Results Hospital infection occurred in 12 cases (0.97%). The main infection sites were respiratory tract, urinary tract, incision and reproductive tract, accounting for 41.67%, 25.00%, 16.67% and 8.33%, respectively. The maternal age 鈮，

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