分娩镇痛期间产间发热影响因素的Logistic回归分析_雷黎明

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1、中国妇幼保健2016年12月第31卷第24期MaternalandChildHealthCareofChina.December2016，Vol.31，No.24·5251··妇女保健·分娩镇痛期间产间发热影响因素的Logistic回归分析雷黎明，沈晓凤，李彩娟，王伟，刘昱升，冯善武南京医科大学附属妇产医院麻醉科，江苏南京210000摘要:目的探讨硬膜外分娩镇痛期间产间发热的影响因素。方法选取分娩镇痛期间产间发热产妇49例为研究组，同期体温正常产妇100例为对照组，记录两组产妇的年龄、BMI、产程、分娩镇痛时间、胎膜早破到分娩结束时间、阴道检查次数、是否使用缩宫素、羊水污染例数、出血量、胎儿

2、体重、脐动脉pH值和Lac等，采用二项式Logistic回归法对影响产间发热的相关因素进行分析。结果高BMI、分娩镇痛时间较长、胎膜早破到分娩结束时间较长、多次阴道检查与产间发热有关(P＜0.05)。结论产间发热和多种因素相关，对产间发热的高危人群应减少阴道检查次数，缩短分娩镇痛时间。关键词:分娩镇痛;产间发热;Logistic回归分析;影响因素中国图书分类号:Ｒ714.4文献标识码:A文章编号:1001-4411(2016)24-5251-03;doi:10.7620/zgfybj.j.issn.1001－4411.2016.24.08Influencingfactorsofmaterna

3、lintrapartumfeverduringlaboranalgesia:alogisticregressionanalysisLEILi－Ming，SHENXiao－Feng，LICai－Juan，etal.DepartmentofAnesthesiology，NanjingMaternityandChildHealthCareHospitalAffiliatedtoNanjingMedicalUniversity，Nanjing，Jiangsu210000，ChinaAbstract:ObjectiveToexploretheinfluencingfactorsofmaternalin

4、trapartumfeverduringepidurallaboranalgesia.MethodsFor-ty－nineparturientwomenwithintrapartumfeverduringepidurallaboranalgesiawereselectedfromthehospitalasstudygroup，andonehundredparturientwomenwithnormalbodytemperatureduringthesameperiodwereselectedascontrolgroup.Maternalage，bodymassin-dex(BMI)，labo

5、rprocess，thestarttimeoflaboranalgesia，theintervaltimefromprematureruptureoffetalmembranetotheendofdeliv-ery，thetimesofvaginalexamination，theusagesituationsofoxytocin，thenumbersofparturientwomenwithamnioticfluidcontamination，theamountsofbloodloss，fetalweights，umbilicalarterypHvaluesandLacinthetwogro

6、upswererecorded.Binomiallogisticregressionmethodwasusedtoanalyzetherelatedfactorsofintrapartumfeverduringlaboranalgesia.ＲesultsHighBMI，longtimeoflaboranalgesia，longintervaltimefromprematureruptureoffetalmembranetotheendofdelivery，vaginalexaminationformanytimeswerecorreatedwithin-trapartumfeverdurin

7、glaboranalgesia(P＜0.05).ConclusionIntrapartumfeverduringlaboranalgesiaiscorrelatedwithmanyfactors，thenumberofvaginalexaminationshouldbereducedandthetimeoflaboranalgesiashouldbeshortenedinthehighriskpopulati