探讨医院产科感染发生的相关因素和预防对策。

回顾性分析本院产科于2013年1月至2014年12月发生医院感染的共109例患者的临床资料。

本组患者以呼吸道（上呼吸道和下呼吸道）发生感染率最高（占44.03%），其次是手术切口（占23.85%）和泌尿道（占12.84%）；剖宫产感染者36例（占33.03%），顺产未侧切感染者24例（占22.02%），顺产侧切感染者19例（占17.43%），宫外孕感染者17例（占15.60%），计划生育感染者13例（占11.93%）。实验室检出病原菌52株（47.71%），其中大肠埃希菌检出最高16株（占30.77%）。

患者抵抗力降低以及较少活动是引起呼吸道感染的主要原因，剖宫产术后导尿留置是泌尿道感染的主要原因；医护人员和产科患者均要加强无菌观念，严格遵守实施无菌流程操作和有效消毒隔离制度，是防止医院内发生感染的主要措施，保证产妇在住院过程当中处于良好的心理状态，进而能够减少产科感染的发生率。

To investigate the hospital infection related factors and preventive measures of occurrence in the obstetrical department.

The clinical data of 109 obstetric cases with nosocomial infection in our hospital from January 2013 to December 2014 were analyzed, retrospectively.

The infection in respiratory tract, upper and lower respiratory tract infection was the highest (44.03%), followed by operation incision (23.85%) and urinary tract (12.84%). There were 36 (33.03%) cases with cesarean section infection, 24 (22.02%) cases with normal labor without side-cut infection, 19 (17.43%) cases with eutocia side-cut infection, 17 (15.60%) cases with ectopic pregnancy infection, 13 (11.93%) cases with family planning infection. The results of laboratory tests showed that 52 (47.71%) strains of pathogenic bacteria, including 16 (30.77%) strains of Escherichia coli were detected.

Patients with reduced resistance and less activity is the main cause of respiratory infection, and cesarean section with indwelling catheter are a major causes of urinary tract infection. The medical staff and obstetric patients should have aseptic concept consciousness, and strictly comply with the implementation of aseptic operation flow and effective disinfection and isolation system, which are the main measures to prevent nosocomial infection, ensure maternal in good mental state during the hospitalization process, and could reduce the incidence of obstetric infection.