硬膜外分娩镇痛产妇镇痛期间产时发热状况及其影响因素

Intrapartum fever and its influencing factors during epidural labor analgesia

目的探讨硬膜外分娩镇痛产妇镇痛期间产时发热状况及其影响因素。方法回顾性分析2021年1月至2021年12月于宝鸡市妇幼保健院分娩的2830例产妇的临床资料,依据硬膜外分娩镇痛期间是否出现产时发热分为产时发热组589例与无产时发热组2241例。采用χ^(2)检验对临床资料实施单因素分析,并将差异有统计学意义的单因素分析结果进行多因素Logistic回归分析。结果单因素分析结果显示,产前抗菌药物使用、羊水污染、硬膜外镇痛给药方式、使用缩宫素、硬膜外镇痛时宫口扩张、总产程、镇痛时间与硬膜外分娩镇痛期间产时发热有关(P<0.05);经多因素Logistic回归分析结果显示,产前使用抗菌药物、硬膜外镇痛给药方式、使用缩宫素、硬膜外镇痛时宫口扩张、总产程、镇痛时间为硬膜外分娩镇痛期间产时发热的独立危险因素(P<0.05)。结论硬膜外分娩镇痛期间产时发热的独立危险因素为产前使用抗菌药物、硬膜外镇痛给药方式、使用缩宫素、硬膜外镇痛时宫口扩张、总产程、镇痛时间。

Objective o investigate the status of intrapartum fever and its influencing factors during epidural labor analgesia.Methods The clinical data of 2830 parturients who gave birth in Baoji Maternal and Child Health Hospital from January 2021 to December 2021 were retrospectively analyzed.According to whether there was intrapartum fever during epidural labor analgesia,the patients were divided into fever group(589 cases)and non-fever group(2241 cases).Chi-square test was used for univariate analysis of clinical data,and the results of univariate analysis with statistically significant difference were analyzed by multivariate Logistic regression.Results Univariate analysis showed that prenatal use of antibiotics,amniotic fluid contamination,administration of epidural analgesia,use of oxytocin,cervix dilation during during epidural analgesia,total labor process,and analgesia time were correlated with fever during epidural analgesia(P<0.05).Multivariate Logistic regression analysis showed that prenatal use of antibiotics,administration of epidural analgesia,use of oxytocin,cervix dilation during during epidural analgesia,total labor process,and analgesia time were independent risk factors for intrapartum fever during epidural analgesia(P<0.05).Conclusion The independent risk factors for intrapartum fever during epidural labor analgesia were antenatal use of antibiotics,administration of epidural analgesia,use of oxytocin,cervix dilation during epidural analgesia,total labor process,and analgesia time.