摘要
目的探讨产妇剖宫产术后肺部感染发生的影响因素。方法选取2017年2月至2019年12月在本院进行剖宫产术的产妇360例为研究对象,根据剖宫产术后感染情况,将其分为感染组与未感染组,比较两组产妇的临床资料及肺部感染相关影响因素,并分析术前抗菌药物预防性使用与肺部感染的关系。结果360例剖宫产术产妇中,共有56例(15.56%)出现术后肺部感染,304例(84.44%)未发生感染。未感染组产妇抗菌药物的使用率、抗菌药物使用时间及术前给药率均显著大于感染组(均P<0.05)。感染组产妇术后1 d、2 d、3 d的体温均高于未感染组(均P<0.05)。单因素分析显示,两组产妇剖宫次数、辅助呼吸、住院时间及抗菌药物使用差异均有统计学意义(均P<0.05);多因素logistic回归分析显示,剖宫次数、辅助呼吸、住院时间、抗菌药物使用均为剖宫产术后肺部感染的独立影响因素(均P<0.05)。结论产妇剖宫产术后肺部感染的影响因素涉及多方面,其中剖宫次数、住院时间、辅助呼吸及抗菌药物的使用均为产妇术后肺部感染相关的独立影响因素。
Objective To explore the influencing factors of pulmonary infection after cesarean section.Methods A total of 360 pregnant women who underwent cesarean section in our hospital from February 2017 to December 2019 were selected as the study objects.According to the postoperative infection,they were divided into infected group and uninfected group.The clinical data and influencing factors of pulmonary infection in the two groups were compared,and the relationship between preoperative antimicrobial prophylaxis and pulmonary infection was analyzed.Results Among 360 pregnant women who underwent cesarean section,there were a total of 56(15.56%)cases of pulmonary infection.The rate of antimicrobial prophylaxis,duration of antimicrobial use,and the rate of preoperative administration of antibiotics in the uninfected group were significantly higher than those in the infected group,with statistically significant differences(all P<0.05).The temperature of the infected group 1 d,2 d,and 3 d after cesarean section were higher than those of the uninfected group(all P<0.05).Univariate analysis showed that there were statistically significant differences in the number of hysterotomy,assisted breathing,hospital stay,and use of antibiotics between the two groups(all P<0.05).Multivariate logistic regression analysis showed that the number of hysterotomy,assisted breathing,hospital stay,and use of antibiotics were independent influencing factors of pulmonary infection after cesarean section(all P<0.05).Conclusion The influencing factors of pulmonary infection after cesarean section involve many aspects,among which the number of hysterotomy,assisted breathing,hospital stay,and use of antibiotics are all independent influencing factors of pulmonary infection after cesarean section.
作者
赵爱梅
范小翠
高丽
杨文菊
Zhao Aimei;Fan Xiaocui;Gao Li;Yang Wenju(Liaocheng Dongchangfu District Maternal and Child Health Hospital,Liaocheng 252000,China)
出处
《国际医药卫生导报》
2020年第13期1918-1921,共4页
International Medicine and Health Guidance News
关键词
剖宫产术
肺部感染
抗菌药物
影响因素
Cesarean section
Pulmonary infection
Antimicrobial agents
Influencing factor
