8133例产妇医院感染临床调查分析

Clinical investigation and analysis to hospital infection among 8133 lying-in women

目的探讨产妇医院感染的临床特点及相关因素。方法对我院产科病房2010年1月至2011年5月出院的8 133例产妇发生医院感染的情况进行回顾性调查分析。结果产妇发生医院感染48例,感染发生率为0.59%;感染部位前3位是上呼吸道、下呼吸道和剖宫产切口,构成比分别为29.17%,22.91%,22.91%;剖宫产产妇医院感染发生率明显高于顺产产妇(P<0.01);有妊娠合并症的产妇医院感染发生率明显高于无合并症的产妇(P<0.01)。结论产科病房应加强空气的流通和消毒,掌握剖宫产指征,严格无菌操作,积极治疗合并症,从而降低医院感染的发生。

Objective To analyze the clinical features of maternity hospital infection and correlative risk factors for providing the basis of hospital infection.Methods Retrospective analysis of 8133 cases of maternity hospital clinical records.Results Rate of hospital infection was 0.59%,mainly infection site was upper respiratory tract（29.17%）,followed by lower respiratory（22.91%） and operative incision（22.91%）.The infection rate of caesarean operation was significant higher than spontaneous labor（P0.01）.Lying-in women who had other coalescent diseases had higher infection rate（P0.01）.Conclusions Mastering indication of caesarean operation,operating with strict asepsis,strengthening airy circulation and disinfection in obstetric ward and treating coalescen diseases actively can reduce the incidence of maternity hospital infection.