高龄产妇妊娠期尿路感染危险因素分析及干预对策.docVIP

高龄产妇妊娠期尿路感染危险因素分析及干预对策 　　[摘要] 目的 探讨影响高龄产妇妊娠期尿路感染发生的危险因素，为临床防治提供依据和指导。方法 选取2009年2月～2013年6月于我院就诊的195例高龄妊娠期产妇为研究对象，根据有无发生妊娠期尿路感染分为两组，其中31例发生妊娠期尿路感染者为观察组，164例未发生尿路感染者为对照组，分析高龄产妇妊娠期发生尿路感染的相关危险因素。结果 高龄产妇发生妊娠期尿路感染的常见病原菌以大肠埃希菌（66.67%）为主，在高龄、大专以下受教育程度、个人尿路感染史、家族尿路感染史、妊娠期性生活史及贫血方面两组比较有统计学差异 （P均0.05）；Logistic 回归分析显示高龄、个人尿路感染史、家族尿路感染史、妊娠期性生活史和贫血是高龄产妇妊娠期发生尿路感染的独立危险因素（P均 　　[关键词] 高龄产妇；妊娠期；尿路感染；危险因素 　　[中图分类号] R691.3 [文献标识码] B [文章编号] 1673-9701（2013）36-0144-03 　　Analysis on risk factors and intervention strategies for elderly maternity patients with urinary tract infection in pregnancy 　　YU Xiaohui1 CHEN Lin1 XU Lili1 CHEN Miaomiao1 LI Jianhai2 　　1.Department of Obstetrics，the Peoples Hospital of Pingyang County in Zhejiang Province， Pingyang 325401，China； 2.General Surgery， the First Peoples Hospital of Hangzhou， Hangzhou 321260，China 　　[Abstract] Objective To explore the risk factors of urinary tract infection in pregnancy for elderly maternity patients in order to provide the basis and guidance for clinical prevention and treatment. Methods One hundred and ninety-five elderly maternity patients in pregnancy admitted into our hospital from February 2009 to June 2013 were selected as the research objects， and divided into two groups according to with or without urinary tract infection in pregnancy， of which 31 cases with urinary tract infection in pregnancy were as the observation group， while 164 cases without urinary tract infection in pregnancy were as the control group. The correlative risk factors of urinary tract infection in pregnancy for elderly maternity patients were analyzed. Results The common pathogenic bacteria of urinary tract infection in pregnancy for elderly maternity patients were mainly Escherichia coli（66.67%），and the differences were statistically significant in the elderly， under the junior college level， personal history， family history of urinary tract infections， sexual history in pregnancy and anaemia between the two groups（P all0.05）； The logistic