中国感染控制杂志2018，Vol.17Issue(2)：136-140,5.DOI:10.3969/j.issn.1671-9638.2018.02.010
剖宫产术后败血症危险因素分析
Risk factors for septicemia after cesarean section
郑新 1刘伟武 1刘丽梅 1李岸英 1王缉义 1王冬晓 1庞琨1
作者信息
摘要
Abstract
Objective To explore the risk factors for septicemia after cesarean section,and provide reference for clinical prevention of postoperative septicemia.Methods Clinical data of patients who underwent cesarean section in a maternal and child health hospital between January 1,2013 and October 31,2016 were collected by retrospective survey method,risk factors were analyzed by multivariate logistic regression model.Results A total of 4 604 cases of cesarean section were selected,32 cases of septicemia occurred,incidence was 0.70％.Multivariate logistic regression analysis showed that there were seven independent risk factors for septicemia:gestational diabetes mellitus (OR =4.03),trying vaginal delivery(OR =15.86),No.of vaginal examination ≥3 times(OR =6.77),premature rupture of membrane≥12 hours(OR =3.47),intra-operative bleeding≥1 000 mL(OR =4.66),postoperative duration of indwelling urinary catheter≥24 hours(OR =2.83),and antimicrobial use within a week(OR =3.20).Four factors were protective factors:gestational weeks≥34 weeks(OR =0.20),hemoglobin≥100 g/L(OR =0.40),albumin≥35 g/L(OR-0.28),and amniotic fluid volume at a normal level(OR =0.22).Conclusion It is possible to prevent and control the occurrence of septicemia after cesarean section through strict management of independent risk factors and intervention in protective factors of pregnant women during peri-operative period.关键词
剖宫产/败血症/危险因素/医院感染/logistic回归分析Key words
cesarean section/septicemia/risk factor/healthcare-associated infection/logistic regression analysis分类
医药卫生引用本文复制引用
郑新,刘伟武,刘丽梅,李岸英,王缉义,王冬晓,庞琨..剖宫产术后败血症危险因素分析[J].中国感染控制杂志,2018,17(2):136-140,5.
