产褥感染的相关因素及细菌学结构分析

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Abstract Objective To explore the related factors and etiological structure of puerperal infection, and to provide evidence-based evidence for the prevention and control of puerperal infection.Methods The clinical data of 105 cases of puerperal infection in Foshan Gaoming Hospital Affiliated to Guangdong Medical University from January 2017 to December 2019 were retrospectively analyzed, and they were set as the study group, and 100 cases of normal pregnant women in the same period were randomly selected as the control group.The factors of puerperal infection were analyzed, bacteriological detection was carried out on puerperal infection patients and the pathogenic structure was analyzed.Results The results of univariate analysis showed that there were significant differences between the study group and the control group in the aspects of age, antenatal hemoglobin, antenatal genital tract secretion, second stage of labor, perinatal complications, postpartum hemorrhage and delivery mode, blood transfusion (P＜0.05).Multivariate Logistic regression analysis showed that moderate prenatal anemia, infection of reproductive tract, prolonged second stage of labor and perinatal complications were independent risk factors of puerperal infection (P＜0.05).The results of bacteriological culture showed that Gram-negative bacteria accounted for 72.5%, Escherichia coli, Klebsiella pneumoniae and Gardnerella vaginalis ranked the top three.Gram-positive bacteria accounted for 27.5%, Staphylococcus aureus, Enterococcus faecalis and Staphylococcus epidermidis ranked the top three.Conclusion Correcting prenatal anemia, preventing reproductive tract inflammation, controlling the second stage of labor and other factors may be effective in preventing puerperal infection; Gram-negative bacteria are important pathogens of puerperal infection.

Key words： Puerperal infection Pathogen Labor process Factor analysis

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	Articles by authors
	LIN Fang
	QIN Wei
	ZHONG Ai-qun
	ZHANG Dong-wu

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LIN Fang,QIN Wei,ZHONG Ai-qun, et al. Analysis of related factors and bacteriological structure of puerperal infection[J]. 中国当代医药, 2020, 27(22): 134-137.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I22/134

[1]	蒋凤芳，李怡澄，赵赛婉，等.疤痕子宫患者再次剖宫产术后产褥感染的危险因素与病原学和耐药性分析[J].中华医院感染学杂志，2017，27（7）：1608-1611.
[2]	熊芳.产妇产褥期感染相关情况分析[J].实用妇产科杂志，2016，32（6）：462-464.
[3]	胡进霞，吴媛媛，杜龙敏.贝宁某医院产妇感染产褥热危险因素分析[J].中国消毒学杂志，2016，33（12）：1233-1234.
[4]	乐杰.妇产科学[M].6 版.北京：人民卫生出版社，2005：236-238.
[5]	陈双东，赵富清，刘清秀.剖宫产术后发生产褥感染的影响因素分析[J]中国妇幼健康研究，2018，29（5）：550-553.
[6]	吕英，徐娟.剖宫产产妇产褥期感染发生情况及影响因素研究[J].实用预防医学，2019，26（2）：211-213.
[7]	肖菊.瘢痕子宫孕妇产褥感染的相关因素和细菌学分析[J].国际检验医学杂志，2018，39（8）：963-965.
[8]	钟美华.产妇产后产褥感染的危险性因素回归分析[J].黑龙江医学，2017，41（6）：511-512.
[9]	王月丽.经阴道分娩对剖宫产术后再妊娠孕妇产后康复及产褥感染的影响[J].河南医学研究，2018，27（2）：312-313.
[10]	敖英其其格，阿依尼沙汗·依明.产褥感染相关因素分析与预防措施探讨[J].临床医学研究与实践，2016，1（16）：135-136.
[11]	范丽英，王鑫炎，徐红艳.产妇产褥期感染相关影响因素分析[J].中华医院感染学杂志，2015，25（4）：920-922.
[12]	陈巧巧，雷明，汤飒爽，等.剖宫产产褥感染产妇的血清降钙素原与C-反应蛋白水平变化研究[J].中华医院感染学杂志，2016，26（19）：4503-4505.
[13]	孔莉敏.生殖道感染对胎膜早破及其妊娠结局的影响[J].中国妇幼保健，2016，31（6）：1225-1227.
[14]	任茁，陈磊，刘丛丛，等.剖宫产术后产褥感染的病原体及影响因素[J].中国生育健康杂志，2018，29（1）：65-67.
[15]	乔艳华，冀弘谦.产褥感染的预防及早期预测指标选择[J].现代仪器与医疗，2018，24（3）：135-136.
[16]	高田方.生殖道支原体属感染与剖宫产术后产褥感染相关性分析[J].当代医学，2015，21（34）：72-73.
[17]	罗志弘，陈慧，曾剑君，等.高龄产妇产褥期医院感染及危险因素分析[J].西南国防医药，2017，27（2）：193-195.
[18]	陈娟，邢玉鉴.生殖道支原体感染与剖宫产产褥感染的相关性研究[J].中国性科学，2015，24（7）：99-102.
[19]	汤志琴，龚艳霞.产褥感染患者相关危险因素及预防措施[J].临床医学工程，2017，24（4）：577-578.
[20]	刘晓红，张雅，刘晓琴，等.妊娠期高血压疾病剖宫产产褥感染产妇细胞因子与红细胞免疫状态的临床研究[J].中国妇幼保健，2017，32（22）：5566-5568.