生殖道支原体感染与剖宫产术后产褥感染的相关性分析

摘要

Objective:To explore the relationship between genital mycoplasma infection and puerperal infection after cesarean section. Methods: The clinical data of 132 patients with puerperal infection after cesarean section was retrospective analyzed. The maternal risk factors, the culture positive rate of mycoplasma and bacterial were investigated. Results: In 132 patients with maternal puerperal infection after cesarean section, with no risk factors in 40 cases (30.3%), there are 1 kinds of risk factors in 11 cases (8.3%), there are 2 kinds of risk factors in 31 cases (23.5%), there are 3 kinds of risk factors in 33 cases (25%), there are 4 kinds of risk factors in 17 cases (12.9%). 91 cases of mycoplasma culture were positive, and the positive rate was 68.9%, the positive of ureaplasma urealyticum infection was 37 cases, accounting for 40.7%, the positive of mycoplasma hominis infection was54 cases, accounted for 59.3%. 41 cases of bacterial culture was positive, the positive rate was 31.1%, Staphylococcus aureus and Escherichia coli. were the most in bacterial culture. Conclusion:The parturients with reproductive tract mycoplasma infection after cesarean section had the high incidence of puerperal infection, should strengthen the pre-pregnancy examination and treatment of vaginal inflammation diseases during pregnancy, reduce drug treatment during pregnancy, strengthen the publicity and education and management work, as soon as possible to clear the various risk factors of puerperal infection, and significantly reduce the incidence rate of puerperal infection.%目的：探讨生殖道支原体感染与剖宫产术后并发产褥感染的相关性。方法：回顾性分析132例剖宫产术后并发产褥感染患者的临床资料，调查产妇的高危因素，支原体属及细菌培养的阳性率。结果：132例剖宫产术后产褥感染产妇中，无高危因素40例(30.3%)，有1种高危因素11例(8.3%)，有2种高危因素31例(23.5%)，有3种高危因素33例(25.0%)，有4种高危因素17例(12.9%)；91例支原体属培养结果阳性，阳性率为68.9%，其中解尿脲支原体感染阳性37例，占40.7%，人支原体感染阳性54例，占59.3%；41例细菌培养结果阳性，阳性率31.1%，细菌培养中以表皮葡萄球菌及大肠埃希菌为主。结论：生殖道支原体感染产妇行剖宫产后易并发产褥感染，应加强孕前阴道部炎症疾病的检查与治疗，减少怀孕期间的药物治疗，加强怀孕期间的宣传教育和管理工作，尽早清除产褥感染的各种高危因素，进而明显降低产褥感染的发病率。