论文部分内容阅读
目的探讨无痛人流与药物流产在降低术后子宫及附件感染中应用研究,为降低孕妇术后子宫及其附件感染的发生率提供依据。方法选取2013年6-12月2 100例流产孕妇进行分析,其中无痛人流1 800例为无痛人流组,药物流产孕妇300例为药物流产组,观察无痛人流和药物流产后孕妇医院感染和子宫及附件的感染情况,以及相关病原菌分布,采用SPSS 17.0软件进行统计分析。结果无痛人流组孕妇有52例发生医院感染、感染率2.89%,其中子宫及其附件感染31例、感染率为1.72%,药物流产组有17例感染、感染率13.33%,其中子宫及其附件感染23例、感染率为7.67%,药流组孕妇医院感染、子宫及其附件感染发生率显著高于无痛人流组,差异有统计学意义(P<0.05);共培养出76株病原菌,其中以革兰阴性菌为主,共45株占59.21%。结论采用无痛人流不仅可以降低孕妇流产中的疼痛,而且在降低孕妇医院感染发生率、降低子宫及其附件的感染发生率有着显著的作用,提高了孕妇后期的生活质量。
Objective To investigate the application of painless abortion and medical abortion in reducing postoperative infection of uterus and annexes and provide the basis for reducing the incidence of uterine infection and its accessory infection in pregnant women. Methods Two hundred and seventy abortion pregnant women were selected from June to December in 2013. Among them, 1 800 cases of painless abortion were painless abortion group, 300 cases of abortion pregnant women were abortion group, and painless abortion and post-abortion maternal nosocomial infection And the uterus and attachment infection, as well as the distribution of pathogens, using SPSS 17.0 software for statistical analysis. Results In the painless group, 52 cases of nosocomial infection were found in the pregnant women, the infection rate was 2.89%. Among them, 31 cases were infected with uterus and its annexes, the infection rate was 1.72%. In the medical abortion group, 17 cases were infected with the infection rate of 13.33% 23 cases were infected with infection and the infection rate was 7.67%. The incidence of nosocomial infection and uterus infection in pregnant women was significantly higher than that in painless flow group (P <0.05). 76 pathogenic bacteria were co-cultivated, Among them, Gram-negative bacteria were dominant, with 45 strains accounting for 59.21%. Conclusion Painless abortion can not only reduce the pain of abortion in pregnant women, but also reduce the incidence of nosocomial infection in pregnant women, reduce the incidence of uterine infection and its appendages, and improve the quality of life of the late pregnant women.