目的探讨妇产科患者发生医院感染的危险因素和预防措施,为控制医院感染提供科学依据。方法采用回顾性调查的方法,对医院2009年1月-2011年12月收治的4180例妇产科患者进行统计分析。结果 4180例患者中发生医院感染共135例,感染率3.23%,其中妇科发生医院感染95例,感染率3.58%,产科发生医院感染40例,感染率2.61%;感染部位以呼吸道为主,其次为泌尿道、胃肠道、手术切口和宫腔,妇产科患者医院感染危险因素主要有年龄、合并其他疾病、侵入性操作、预防应用抗菌药物和住院时间长。结论切实落实各项规章制度,严格执行无菌操作,做好消毒隔离和健康宣教,加强病房管理,有针对性地采取措施以降低妇产科患者的医院感染率,促进患者早日康复。 Objective To investigate the risk factors and preventive measures of nosocomial infection in obstetrics and gynecology patients and to provide a scientific basis for the control of nosocomial infections. Methods A retrospective survey was performed on 4180 cases of obstetrics and gynecology admitted to our hospital from January 2009 to December 2011. Results Among the 4180 cases, there were 135 cases of nosocomial infections and the infection rate was 3.23%. There were 95 cases of nosocomial infection in gynecology department and the infection rate was 3.58%. There were 40 hospitalizations in obstetrics and gynecology department, the infection rate was 2.61%. The main infection area was respiratory tract, For the urinary tract, gastrointestinal tract, surgical incision and uterine cavity, the main risk factors for nosocomial infections in obstetrics and gynecology patients are age, combined with other diseases, invasive procedures, prevention of the use of antibiotics and long hospital stay. Conclusion Effective implementation of the rules and regulations, strict implementation of aseptic operation, good disinfection and isolation and health education, strengthen ward management, and targeted measures to reduce obstetrics and gynecology patients with nosocomial infection rate and promote early recovery of patients.