标题：硬膜外分娩镇痛产妇镇痛期间产时发热状况及其影响因素

      作者：王伟华，朱艳，滕薇    宝鸡市妇幼保健院麻醉科，陕西 宝鸡 721000

      卷次： 2023年34卷8期

      【摘要】 目的 探讨硬膜外分娩镇痛产妇镇痛期间产时发热状况及其影响因素。方法 回顾性分析2021年1月至2021年12月于宝鸡市妇幼保健院分娩的2 830例产妇的临床资料，依据硬膜外分娩镇痛期间是否出现产时发热分为产时发热组589例与无产时发热组2 241例。采用χ2检验对临床资料实施单因素分析，并将差异有统计学意义的单因素分析结果进行多因素Logistic回归分析。结果 单因素分析结果显示，产前抗菌药物使用、羊水污染、硬膜外镇痛给药方式、使用缩宫素、硬膜外镇痛时宫口扩张、总产程、镇痛时间与硬膜外分娩镇痛期间产时发热有关(P<0.05)；经多因素Logistic回归分析结果显示，产前使用抗菌药物、硬膜外镇痛给药方式、使用缩宫素、硬膜外镇痛时宫口扩张、总产程、镇痛时间为硬膜外分娩镇痛期间产时发热的独立危险因素(P<0.05)。结论 硬膜外分娩镇痛期间产时发热的独立危险因素为产前使用抗菌药物、硬膜外镇痛给药方式、使用缩宫素、硬膜外镇痛时宫口扩张、总产程、镇痛时间。
      【关键词】 产妇；硬膜外分娩镇痛；镇痛期间；产时发热；危险因素
      【中图分类号】 R714.45 【文献标识码】 A 【文章编号】 1003—6350（2023）08—1118—04

Intrapartum fever and its influencing factors during epidural labor analgesia.
WANG Wei-hua, ZHU Yan, TENGWei. Department of Anesthesiology, Baoji Maternal and Child Health Hospital, Baoji 721000, Shaanxi, CHINA
【Abstract】 Objective o investigate the status of intrapartum fever and its influencing factors during epidural la-bor analgesia. Methods The clinical data of 2 830 parturients who gave birth in Baoji Maternal and Child Health Hospi-tal from January 2021 to December 2021 were retrospectively analyzed. According to whether there was intrapartum feverduring epidural labor analgesia, the patients were divided into fever group (589 cases) and non-fever group (2 241 cases).Chi-square test was used for univariate analysis of clinical data, and the results of univariate analysis with statisticallysignificant difference were analyzed by multivariate Logistic regression. Results Univariate analysis showed that pre-natal use of antibiotics, amniotic fluid contamination, administration of epidural analgesia, use of oxytocin, cervix dila-tion during during epidural analgesia, total labor process, and analgesia time were correlated with fever during epiduralanalgesia (P<0.05). Multivariate Logistic regression analysis showed that prenatal use of antibiotics, administration ofepidural analgesia, use of oxytocin, cervix dilation during during epidural analgesia, total labor process, and analgesiatime were independent risk factors for intrapartum fever during epidural analgesia (P<0.05). Conclusion The indepen-dent risk factors for intrapartum fever during epidural labor analgesia were antenatal use of antibiotics, administration ofepidural analgesia, use of oxytocin, cervix dilation during epidural analgesia, total labor process, and analgesia time.
      【Key words】 Parturients; Epidural labor analgesia; During analgesia; Intrapartum fever; Risk factors