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目的探讨水中分娩缸水细菌污染率和细菌种类,以及与母婴感染的相关性。方法对广州市第十二人民医院2006年10月至2007年12月水中分娩的产妇66例和同期采取传统分娩产妇40例进行回顾性分析。结果水中分娩缸水细菌培养阳性率83.3%,革兰阳性球菌以表皮葡萄球菌为多,占20.3%,革兰阴性杆菌以大肠埃希菌为多,达29.7%;新生儿咽拭子细菌培养水中分娩组阳性率9.1%,传统分娩组22.5%,两者比较差异无统计学意义(P>0.05);水中分娩组C反应蛋白新生儿为(6.65±7.9)mg/L,产妇为(35.6±16.0)mg/L;传统分娩组新生儿为(6.42±6.8)mg/L,产妇为(49.7±32.0)mg/L,其母儿感染临床征象两组比较差异无统计学意义(P>0.05)。结论水中分娩缸水有较高的细菌污染率,但并未增加母婴感染。
Objective To investigate the bacterial contamination rate and bacterial species in water-borne water and its relationship with maternal-to-infant infection. Methods Sixty-six cases of maternal childbirth in the Twelfth People’s Hospital of Guangzhou from October 2006 to December 2007 and 40 cases of traditional delivery of maternal women in the same period were retrospectively analyzed. Results The positive rate of water-borne bacterial culture in water was 83.3%, Staphylococcus epidermidis was the most common gram-positive bacteria, accounting for 20.3%, Escherichia coli was the most common Gram-negative bacterium, reaching 29.7%. Neonatal pharyngeal swab bacterial culture The positive rate of water delivery group was 9.1% and that of the traditional delivery group was 22.5%, there was no significant difference between the two groups (P> 0.05). The c-reactive protein in water delivery group was (6.65 ± 7.9) mg / L, ± 16.0) mg / L. The newborn infants in the traditional delivery group were (6.42 ± 6.8) mg / L and (49.7 ± 32.0) mg / L, respectively. There was no significant difference in the clinical signs between the two groups (P> 0.05). Conclusions There is a high rate of bacterial contamination in the water of childbirth but no increase of maternal-to-infant infection.