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目的:探讨产科医院感染的危险因素及防范措施。方法:回顾性分析2014年1月~2016年9月医院产科11205例住院产妇中111例院内感染的产妇临床资料,比较分娩方式、季节、妊娠合并症、年龄对院内感染发生的影响。结果:与自然分娩相比,剖宫产发生院内感染的发病率明显增高(P<0.05);与夏秋季分娩相比,冬春季分娩产妇院内感染发生率明显增高(P<0.05);与无妊娠合并症相比,存在妊娠合并症的产妇发生院内感染的几率明显增高(P<0.05);与未满35岁产妇相比,年龄超过35岁产妇发生院内感染的几率没有明显变化,差异不显著(P>0.05)。结论:产科医院感染的发生与分娩方式、环境、抗菌素的应用、个体因素等多方面有关,应加强医务人员防感染管理,提高防感染意识,应合理规范抗生素应用,严格掌握剖宫产指征,积极治疗妊娠合并症。
Objective: To investigate the risk factors of obstetric hospital infection and the preventive measures. Methods: The clinical data of 111 cases of nosocomial infection from 11205 hospitalized patients in hospital from January 2014 to September 2016 were analyzed retrospectively. The effects of delivery mode, season, pregnancy complications and age on nosocomial infection were compared. Results: The incidence of nosocomial infection in cesarean section was significantly higher than that in spontaneous delivery (P <0.05). Compared with the delivery in summer and autumn, the incidence of nosocomial infections in winter and spring was significantly increased (P <0.05) The risk of nosocomial infection in pregnant women with pregnancy complications was significantly higher than that in pregnant women with pregnancy complications (P <0.05). Compared with women under 35, the incidence of nosocomial infections in women over 35 years of age did not change significantly Significant (P> 0.05). Conclusion: Obstetrics and gynecology hospital infection and delivery mode, the environment, the application of antibiotics, individual factors and many other aspects, should strengthen medical staff to prevent infection management, raise awareness of anti-infection should be a reasonable application of antibiotics, strict grasp of cesarean indications , Active treatment of pregnancy complications.