广东省急危重症孕产妇产褥感染流行病学特征与分析

Epidemiological characteristics of puerperal infection in preganant and lying-in women with acute and emergent diseases and its analysis

目的:探讨广东省急危重症孕产妇产褥感染相关因素,力求降低产褥感染发生率。方法:按照各地经济水平,把广东省分为珠三角地区、山区、东翼、西翼,调查产褥感染的发生率,产褥感染与地理分布、产次特征、住院分娩数、产前检查数、活产数、孕产妇数的关系。结果:各地产褥感染发生率有显著差异,其中珠三角地区发生率高,山区其次,东西两翼最低。产褥感染患者的年龄特征是26～30岁组最多,<25岁其次。产褥感染发生率与产前检查率呈负相关,与住院分娩率、高危发现率正相关。结论:提高产前检查率、高危筛查率及住院分娩率,可以及时发现异常情况,有效降低产褥感染率;同时要坚持预防为主,积极治疗各种孕期合并症及并发症;大力推广新法接生,严格无菌操作;积极防治产褥感染,从而促进全社会生殖健康水平的提高。

Objective： By studying the correlative factors of puerperal infection in Guangdong province to decrease the incidence rate of puerperal infection. Methods ： The status of puerperal infection, geography distribution, the character of parity, the number of childbirth in hospital, prenatal check, live birth, and lying - in woman were investiged in GuangdOng Province. Results： Guangdong Province can be divided into Pearl Delta, mountainous area, eastern and western limb, according to economic level in these areas, there was significant difference rate of puerperal infection among these areas. The incidence rate of Pearl Delta was highest, and that of mountainous area was the second, and that of eastern and western limb was the lowest. The most of patients were aged from 26 to 30 years, and the second were those who less than 25 years. The incidence rate of puerperal infection showed negative correlation with prenatal check rate and positive correlation with childbirth in hospital rate and high risk discovered rate. Conclusion： Abnormal situation could be detected to decrease the rate of puerperal infection efficiently through improving the rate of antenatal care and high risk scanning and childbirth in hospital. In order to improve the reoroductive health standard of whole society, new technique of childbirth and aseptic technique should be spread.