剖宫产术后生殖道感染危险因素调查.PDFVIP

5·30 · Chin J Nosocomiol Vol. 13 No. 6 2003 ·论 　著· 剖宫产术后生殖道感染危险因素调查 许金为 , 陈 　健 (三明市第三医院 , 福建 三明 365001) 摘要 : 目的 　了解剖宫产术后生殖道感染危险因素。方法 　对 1999 年 7 月～2001 年 3 月剖宫产术后产妇临床 资料进行调查分析。结果 　252 例剖宫产妇发生医院感染 20 例、感染率 7. 9 % ,感染部位构成比生殖道占首位 , 40 % ,呼吸道次之占 35 % ,切口占 20 % ,泌尿道占 5 % ,主要病原菌为真菌和金黄色葡萄球菌。结论 　剖宫产术后 产妇感染部位主要为生殖道 ,感染与剖宫产组织创伤、渗血、渗液、手术及孕娠分娩改变生殖道生态环境、抗生素 使用 ,造成阴道内菌群比例及微生物之间相互制约关系失调有关 ,抗生素的使用不能降低感染率 ,反而增加机会 菌感染 ,重视开展剖宫产术围手术期用药 ,有针对性选用抗生素 ,才能有效地降低剖宫产术后感染的发生。 关键词 : 剖宫产术 ; 生殖道 ; 感染 ; 微生态 ; 抗生素 中图分类号: R719. 8 　　文献标识码 : A 　　文章编号 : (2003) Risk Factors of Reproductive Tract Infections after Cesarean Section XU Jinwei , CHEN Jian ( The Thi rd Hospital of S anming , S anming , Fujian 365001 , China) Abstract : OBJECTIVE To investigate the risk factors of the reproductive tract infections in the patients after cesarean section. METHODS The clinical data of the patients after cesarean section from J uly 1999 to Mar 2001 were statistically analysed. RESULTS A total of 20 cases of the nosocomial infection were found among 252 cases after cesarean section (7. 9 %) ,among them reproductive tract infection was the highest ( 40 %) , the second one was the respitatory tract (35 %) , the infection rate of the wound and the urinary tract was 20 % and 5 % , respectively . The main pathogens of nosocomisl infection were fungi and S taphylococcus aureus . CONCL USIONS The main infection site was reproductive tract , the nosocomial infection was associated with tissue injured , bleeding , delivery , the change in the reproductive tract microecosystem after operation and delivery ,