生殖道支原体感染与剖宫产术后产褥感染相关因素分析

Analysis on interrelated factors on genital track infection by mycoplasma and puerperal infection puerperal infection after cesarean section

目的:探讨生殖道支原体感染与剖宫产术后产褥感染的关系,找出剖宫产术后产褥感染的有效治疗方法,减轻患者痛苦,减少发热天数。方法:回顾性分析2004年1月～2009年5月我院发生的剖宫产术后产褥感染患者240例,就产褥感染的高危因素、宫颈分泌物细菌及支原体培养结果及治疗情况进行分析。结果:生殖道支原体感染已成为产褥感染的主要因素。结论:随着高效广谱抗生素及抗厌氧菌药物的广泛使用,B族溶血链球菌、厌氧菌、大肠埃希菌及葡萄球菌所致的剖宫产术后产褥感染率明显下降,而解脲脲原体及人型支原体所致的产褥感染率明显升高。

Objective：To analyze the relationship of mycoplasma infection in the genital track and puerperal infection after cesarean section and find out effective remedy for puerperal infection after cesarean section,so that to alleviate the patient＇s suffering and to reduce fever days.Methods：Retrospective analysis was done on 240 cases of puerperal infection occurred after cesarean section in our hospital from January 2004 to May 2009,analyzed risk factors of puerperal infection,bacterial and mycoplasmal culture results of cervical secretions and treatment conditions.Results：Mycoplasma infection in the genital trace had become a major factor of puerperal infection after cesarean section.Conclusion：With the efficient broad-spectrum antibiotics and antianaerobes drugs widely used,the rate of puerperal infection caused by B hemolytic streptococci,Anaerobes,E.coli,staphylococcus obviously decreased,where as the rate of puerperal infection caused by ureaplasma urealyticum and mycoplasma hominis is rising.