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目的探讨妊娠期尿路感染危险因素及预防措施。方法选取2014年1月-2016年12月丽水市人民医院收治的79例妊娠期尿路感染患者为观察组,另选择同期就诊的73例妊娠期非尿路感染者为对照组。调查两组患者年龄、文化程度、分娩史、既往尿路感染史、妊娠期糖尿病、血清白蛋白等情况,分析妊娠期尿路感染危险因素。结果单因素分析表明,观察组与对照组年龄、血浆白蛋白比较,差异无统计学意义(P>0.05);两组文化程度、分娩史、既往尿路感染、妊娠期糖尿病比较,差异有统计学意义(P<0.05);多因素回归分析结果显示,文化程度、分娩史、既往尿路感染、妊娠期糖尿病为妊娠期尿路感染独立危险因素。结论妊娠期尿路感染的因素相对较为复杂,文化程度、分娩史、既往尿路感染、妊娠期糖尿病为其独立危险因素,因此,对高危因素的孕妇需进行必要的健康教育。
Objective To investigate the risk factors of urinary tract infection during pregnancy and its preventive measures. Methods A total of 79 patients with gestational urinary tract infection admitted to Lishui People’s Hospital from January 2014 to December 2016 were selected as the observation group and 73 pregnant women with non-urinary tract infection during the same period were selected as the control group. The age, educational level, delivery history, previous history of urinary tract infection, gestational diabetes mellitus and serum albumin in two groups were investigated to analyze the risk factors of urinary tract infection during pregnancy. Results Univariate analysis showed that there was no significant difference between the observation group and the control group in age and plasma albumin (P> 0.05). There was statistical difference between the two groups in education, delivery history, previous urinary tract infection and gestational diabetes mellitus (P0.05) .Multivariate regression analysis showed that educational level, delivery history, previous urinary tract infection and gestational diabetes mellitus were independent risk factors of urinary tract infection during pregnancy. Conclusions The factors of urinary tract infection during pregnancy are relatively complicated. The educational level, delivery history, previous urinary tract infection and gestational diabetes mellitus are independent risk factors. Therefore, necessary health education should be given to pregnant women with high risk factors.