常山县妊娠期女性生殖系统感染危险因素分析及预防对策.docVIP

常山县妊娠期女性生殖系统感染危险因素分析及预防对策 　　【摘要】目的：探究常山县妊娠期女性生殖系统感染的危险因素以及预防对策。方法：选取2012年1月至2014年1月期间我院接收治疗的100例生殖系统感染的妊娠期女性患者，以及同期无生殖系统感染的健康孕妇100例。对研究对象的临床资料进行统计，测定其血清蛋白和血红蛋白水平以及体重指数。采集患者阴道分泌物标本做细菌培养，观察患者生殖系统感染的病原菌分布情况。结果：文化程度较低、有分娩史、流产史、年龄≥35岁、以往有生殖系统感染、合并妊娠期糖尿病和贫血均为妊娠期生殖系统感染的高危因素。经过logistic回归分析得出，年龄≥35岁、以往有生殖系统感染史、流产史、分娩史、文化程度在高中以下、贫血和合并妊娠期糖尿病是患者妊娠期生殖系统感染的独立危险因素，具有统计学意义（p0.05）。100例生殖系统感染患者在细菌培养中，排除培养基污染情况，一共分离出89株病原菌，其中大肠埃希菌占67.42%，数量最多，肺炎链球菌占2.25%数量最少，其余分别为6.74%的肺炎克雷伯菌，6.74%的粪肠球菌，4.49%的变形菌属和3.37%的屎肠球菌。结论：妊娠期生殖系统感染的因素是复杂多变的，因此在治疗发生生殖系统感染孕妇时应当顾及到胎儿的安全，并对孕妇进行相关的健康教育。 　　【关键词】女性；生殖系统感染；妊娠期；危险因素；预防对策 　　【Abstract】Objectives： To explore the risk factors and preventive measures of pregnancy female reproductive system infection in Changshan. Methods： From 2012 January -2014 January， the 100 pregnancy patients of reproductive system infection in our hospital and 1000 healthy pregnant women in the same period were selected. The clinical data of the two groups were studied to detect their serum protein， hemoglobin level and body mass index. The corresponding specimens were collected for bacterial culture； the pathogenic bacteria distribution in patients with reproductive system infection was observed. Result： Lower education level， history of childbirth， abortion， age ≥35 years old， appreciation infections in the past， gestational diabetes and anemia merger reproductive system infections during pregnancy were all risk factors. After logistic regression analysis， age ≥35 years old， the past history of reproductive tract infections， abortion， birth history， education in high school or less， anemia and consolidated gestational diabetes were independent risk factors for reproductive system infections during pregnancy， with statistical significance （P0.05）. In the bacterial culture of 100 cases of reproductive system infected patients， with exclusion of medium pollution， there were a total of 89 isolated pathogens， including E. coli of 67.42%， Streptococcus pneumonia of 2.25%， and the rest w