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目的分析产妇感染产褥热危险因素,为防控提供借鉴。方法通过回顾性分析方法,对我国医疗队援非期间贝宁共和国莫诺省中心医院发生的产褥感染病人临床资料进行统计分析。结果 2010-2014年间,该医院共收治产妇7 519例,发生产褥感染51例,感染率为0.68%。统计分析发现,产妇在妊娠期存在合并症(阴道炎、贫血)和围产期并发症(胎膜早破、出血、产程延长和胎盘残留等)对产褥热的形成有明显影响(P<0.05)。结论住院产妇发生产褥热与围产期并发症关系密切,加强围产期保健和分娩过程中严格无菌操作是防控产褥感染的关键措施。
Objective To analyze the risk factors of puerpera in maternal infection and provide references for prevention and control. Methods By retrospective analysis, the clinical data of patients with puerperal infection in the Central Hospital of Mono State in the Republic of Benin during non-period of medical aid were analyzed statistically. Results During 2010-2014, 7,519 maternal women were treated and 51 cases of puerperal infection occurred. The infection rate was 0.68%. Statistical analysis found that maternal complications during pregnancy (vaginitis, anemia) and perinatal complications (premature rupture of membranes, bleeding, prolonged labor and placental residue, etc.) have a significant impact on the formation of puerperal fever (P < 0.05). Conclusions The incidence of puerperal fever in hospitalized women is closely related to perinatal complications. Strengthening perinatal health care and strict aseptic procedures during childbirth are the key measures to prevent and control puerperal infection.