摘要
目的了解产后宫内感染(PIUI)的临床特征,并探讨有效的预防措施。方法采用回顾性调查方法,统计不同分娩方式的PIUI发生率,临床特征,病原学特点及预防措施。结果 2007-2008年的2382例分娩产妇中,发生PIUI共137例,总发生率5.75%;胎膜早破产妇PIUI发生率高于非胎膜早破产妇(χ2=16.86,P<0.001),剖宫产和早产平产妇高于足月平产妇(χ2=8.40,P<0.001);PIUI的临床表现有发热(82.48%),产后恶露不清(66.42%),头痛头晕(53.28%)和下腹部疼痛(48.18%)等;PIUI的病原学构成依次为革兰阴性杆菌(46.1%),革兰阳性球菌(33.1%)和真菌(20.8%)。结论 PIUI是威胁产后康复的重要并发症,加强妊娠期的卫生保健知识教育,注意营养补充,增强体质;妊娠后期尽量减少孕妇阴道或肛内检查次数,分娩过程中严格无菌操作,严格剖宫产指征,是预防和减少PIUI发生的有效措施。
OBJECTIVE To study the clinical features of postpartum intrauterine infection（PIUI） and discuss the preventive measures.METHODS The retrospective methods were conducted to analyze the incidence,clinical and pathogenic features and preventive measures.RESULTS There were 137 cases of PIUI in 2382 puerperas from 2007 to 2008,the total incidence was 5.75%.The patients with premature rupture of membranes had higher risk to have PIUI than normal puerperas（χ^2=16.86,P〈0.001）.The patients accepted cesarean section and with preterm but normal delivery had higher risk than full-term with normal delivery patients（χ^2=8.40,P〈0.001）.The clinical symptoms of PIUI included fever（82.48%）,persistent flow of the lochia after delivery（66.42%）,headache and faint（53.28%）and hypogastralgia（48.18%）.The pathogens of PIUI were mainly Gram-negative bacteria（46.1%）,Gram-positive cocci（33.1%）and fungi（20.8%）.CONCLUSIONS PIUI is a serious syndrome after delivery.It is necessary to strengthen health care education,nutrition supplement and physical fitness in pregnancy.There are some effective measures to reduce PIUI,such as reducing examination in vagina or anus,aseptic operation in delivery course and strict surgical indication for cesarean section.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第14期2050-2051,共2页
Chinese Journal of Nosocomiology
关键词
产后宫内感染
临床特征
预防措施
Postpartum intrauterine infection
Clinical features
Prevenive measures
