|
|
|
| Analysis of Risk Factors for Postpartum Infection in Patients with Scarred Uterus after Cesarean Section |
| FAN Jing, WANG Suqin, ZHU Jiajia |
| Department of Obstetrics, Jiyuan City People's Hospital, Jiyuan Henan 459000 |
|
|
|
|
Abstract 【Objective】To explore the risk factors of postpartum infection in patients with scarred uterus after cesarean section.【Methods】A retrospective analysis was conducted on the clinical data of 80 patients with scarred uterus admitted to our hospital from January 2018 to October 2023. All patients underwent cesarean section again and were divided into an infected group (n=20) and an uninfected group (n=60) based on whether they developed postpartum infection. Two sets of general information were compared, including the presence of reproductive tract infections during pregnancy and the presence of upper respiratory tract infections; Multiple logistic regression analysis was used to identify the risk factors for postpartum infection in patients with scarred uterus after cesarean section.【Results】There was no statistically significant difference in age, body mass index (BMI), gestational age, surgical time, anemia, presence of placenta previa, gestational hypertension, hyperlipidemia, proportion of upper respiratory tract infections, and gestational age between the two groups (P>0.05); The proportions of premature rupture of membranes, postpartum hemorrhage, diabetes in pregnancy, and reproductive tract infection in pregnancy in the infected group were significantly higher than those in the uninfected group (P<0.05). Multivariate logistic regression analysis showed that premature rupture of membranes, postpartum hemorrhage, pregnancy diabetes, pregnancy genital tract infection were the risk factors for puerperal infection after cesarean section in women with scar uterus (all P<0.05).【Conclusion】The puerperal infection of patients with scar uterus after cesarean section is affected by many factors, among which premature rupture of membranes, postpartum hemorrhage, pregnancy diabetes, pregnancy genital tract infection can predict the puerperal infection of such patients after cesarean section, which should be paid close attention to clinically.
|
|
Received: 12 March 2024
|
|
|
|
|
|
[1] MERCIER M, MENEU A, TESSON C, et al. Retrospective evaluation of labor induction with scar uterus at the university hospital of Rennes[J].J Gynecol Obstet Hum Reprod, 2023,52(9):102641.
[2] ZHANG Y, ZHANG T C, LIU X Y, et al. Research trends of pregnancy with scarred uterus after cesarean: a bibliometric analysis from 1999 to 2018[J].J Matern Fetal Neonatal Med,2022,35(18):3555-3564.
[3] 虎琳,吴安稳.二孩生育前后剖宫产指征及剖宫产分娩比例变化情况[J].宁夏医学杂志,2023,45(1):71-73.
[4] DELLAPIANA G, LEVIAN C, GUBERNICK L, et al. Prophylactic postoperative antibiotics after emergent cesarean delivery and risk of postpartum infection or wound complication[J].J Matern Fetal Neonatal Med,2022,35(25):6830-6835.
[5] 黎介寿,吴孟超,傅才英,等.手术学全集:妇产科手术学[M].2版.北京:人民军医出版社,2004:14.
[6] 中华医学会妇产科学分会产科学组.剖宫产手术的专家共识(2014)[J].中华妇产科杂志,2014,49(10):721-724.
[7] 安然,李丽.Logistic回归分析瘢痕子宫再次妊娠产妇阴道分娩妊娠结局的影响因素[J].中国性科学,2020,29(8):39-41.
[8] 王艳,闫秋菊.构建预测剖宫产后产褥感染发生风险的列线图模型[J].中国感染控制杂志,2021,20(6):544-549.
[9] 李靖云,张琴,叶静,等.剖宫产术后产妇产褥感染危险因素分析[J].中国病原生物学杂志,2023,18(4):473-477.
[10] 吴燕,丁美平,陈迎迎,等.瘢痕子宫产妇二次剖宫产术后产褥感染病原菌分布及危险因素[J].中国消毒学杂志,2021,38(2):133-135.
[11] 汪雪梅,缪小红,劳玮淑.瘢痕子宫产妇剖宫产术后感染现状调查及影响因素[J].中国消毒学杂志,2020,37(3):233-235.
[12] 张若,张鸢,贾利平.瘢痕子宫妊娠剖宫产术后切口感染特点及危险因素研究[J].中国妇产科临床杂志,2021,22(5):534-535.
[13] 刘爱杰,赵枫,姜丽娜,等.胎膜早破产妇产褥感染影响因素及胎盘胎膜TLR4的预测价值[J].中华医院感染学杂志,2021,31(13):2065-2069.
[14] 李苗苗,李影,吴秋红.瘢痕子宫产妇剖宫产术后切口感染病原菌分布及危险因素分析[J].中国妇幼保健,2020,35(9):1615-1618.
[15] 张婷婷,周志芳,张文娟,等.妊娠期生殖道感染对妊娠结局影响的分析[J].实用预防医学,2022,29(4):466-468.
[16] 李懿蔚,马一玮,张燕君,等.剖宫产术后产褥感染病原菌及其影响因素研究[J].华南预防医学,2021,47(11):1451-1453.
[17] 翁科娜,李璐,张洁琼,等.妊娠期糖尿病合并生殖道感染危险因素及其免疫状态[J].中华医院感染学杂志,2021,31(6):910-914. |
| [1] |
. [J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(6): 922-924. |
|
|
|
|
2024, Vol. 41 
