试产时间与产后感染的相关性研究

Study on the correlation between trial time and postpartum infection

目的：分析试产后发生感染的相关性因素。方法回顾性分析试产后发生感染106例患者的临床资料，并与未发生产后感染的212例进行比较。结果产后感染高危因素中，感染组在试产超过48 h、剖宫产、阴道炎方面分别为85．8％、87．7％、67．0％，分别高于对照组的22．6％、36．8％、35．4％，两组差异均有统计学意义（均P＜0．05）。结论试产时间延长是导致感染的首位原因。严格掌握引产催产指征，才能有效降低剖宫产率，减少母体产褥感染、后续瘢痕子宫等并发症。

Objective To analysis the dependence factors of postpartum infection in our hospital trial cases in recent 5 years.To explore the reasonable parturition and improve the quality of obstetric measures.Methods A retrospective analysis of the incidence of infection after the trial was conducted, in which the clinical data of 106 patients were from June 2014 to June 1999,and compared with 212 cases without infection after parturition.Results In the trial of more than 48h,cesarean section,vaginal infection group were 85.8%,87.7% and 67.0%.They were higher than the control group 22.6%,36.8%and 35.4%.The difference between the two groups was statistically sig-nificant （P〈0.05）.Conclusion The trial parturition time is the leading cause of infection.In order to reduce the rate of cesarean section,to reduce maternal puerperal infection,subsequent complications such as uterine scar,strict control of indications for induction of spawning is needed.