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中文摘要：
目的分析母婴同室产妇医院感染发生的相关因素,提出有效预防感染的对策,进一步提高母婴健康水平。方法回顾性分析2013年1月1日-2014年10月31日医院12 262例母婴同室住院产妇的医院感染率、感染部位分布、感染发生的相关因素,研究数据采用SPSS17.0软件进行统计分析。结果 12 262例住院产妇发生医院感染91例,感染率为0.74%,其中经阴道分娩产妇感染率为0.38%,剖宫产产妇感染率为1.02%,两组产妇感染率比较差异有统计学意义（P〈0.05）;主要感染部位为呼吸系统、败血症及手术切口,分别占37.36%、18.68%、17.58%;妊娠合并症、胎膜早破、糖尿病、贫血、产后出血等因素与产妇发生医院感染具有相关性,差异有统计学意义（P〈0.05）。结论健全科室感染管理组织,强化科室人员培训力度;做好对孕产妇及家属的健康教育;加强病区环境管理;强化对医师、助产士、护士的技能培训;加强对重点产妇的管理,以降低医院感染率。
英文摘要：
OBJECTIVE To analyze the causes and countermeasures of nosocomial infection in parturients after direct rooming-in management. METHODS Totally 12262 cases of nosocomial infection after direct rooming-in management from Jan. 2013 to Oct. 2014 were retrospectively analyzed for nosocomial infection rate, distribution of infected sites and related factors of infection. The SPSS17. 0 software was used for statistical analysis. RESULTS The infection rate under direct rooming in management was 0.74% （91/12 262 cases）. The infection ra;te was 0.38 % for those undergoing vaginal delivery and 1.02% for caesarean birth, with statistically significant difference in comparison between these two delivery approaches （P〈 0.05）. The main sites of infection were respiratory system （37.36 %）, hematosepsis （18.68 %） and operative incision （ 17.58 %）. Nosocomial infection was related to many factors including pregnancy complications, premature rupture of membranes, diabetes, anemia, and postpartum hemorrhage, with statistical significance （P〈0.05）. CONCLUSION It is recommended to prefect management organization＇ of infection in departments, strengthen the training efforts of clinical staff, complete the health education of parturients and their families, strengthen the management of ward environment, strengthen skill training of doctors, midwives, nurses and strengthen the management of key parturients so as to reduce the incidence of nosocomial infections.
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