CAJ | 학술논문

目的：探讨需氧菌性阴道炎（ AV）孕妇阴道菌群分布及与妊娠结局的相关性。方法选取2010年7月至2012年7月于深圳市南山医院产科门诊常规产检建册、诊断为AV的孕妇150例为研究组，选取同期于门诊常规产检的正常孕妇100例为对照组。取阴道分泌物涂片及微生物培养，AV阳性依患者意愿治疗。分析AV孕妇阴道菌群分布情况，随访妊娠结局。结果 AV孕妇分泌物一般为黄色或黄绿色、稀薄脓性。阴道菌群主要以GBS（ B族链球菌，group B streptococcus ）、大肠埃希氏菌、金黄色葡萄球菌及粪肠球菌为主。 AV孕妇胎膜早破、绒毛膜羊膜炎、产后出血发生率均高于对照组（ P＜0．05）。应用克林霉素治疗后，以上妊娠结局发生率明显降低。结论孕期AV可导致胎膜早破、绒毛膜羊膜炎、产后出血等，规范治疗可改善妊娠结局。值得临床推广应用。
목적：탐토수양균성음도염（ AV）잉부음도균군분포급여임신결국적상관성。방법선취2010년7월지2012년7월우심수시남산의원산과문진상규산검건책、진단위AV적잉부150례위연구조，선취동기우문진상규산검적정상잉부100례위대조조。취음도분비물도편급미생물배양，AV양성의환자의원치료。분석AV잉부음도균군분포정황，수방임신결국。결과 AV잉부분비물일반위황색혹황록색、희박농성。음도균군주요이GBS（ B족련구균，group B streptococcus ）、대장애희씨균、금황색포도구균급분장구균위주。 AV잉부태막조파、융모막양막염、산후출혈발생솔균고우대조조（ P＜0．05）。응용극림매소치료후，이상임신결국발생솔명현강저。결론잉기AV가도치태막조파、융모막양막염、산후출혈등，규범치료가개선임신결국。치득림상추엄응용。
Objective To investigate the aerobic vaginitis ( AV) pregnant vaginal flora distribution and correlation with pregnancy outcome .Methods July 2010 -July 2012 at Nanshan Hospital of Shenzhen obstetric clinic routine check-ups to build volumes , diagnosed as AV pregnant women 150 cases for the study group , select the corresponding period in the clinic for routine prenatal care for normal pregnant women 100 cases of the control group.Took vaginal smears and microbial culture , AV-positive patients in accordance with the wishes of the treatment.Analyzed the distribution of AV maternal vaginal flora , follow-up pregnancy outcome .Results AV pregnant secretions usually resulted yellow or yellow-green, thin purulent.Vaginal flora mainly GBS ( B streptococci , group B streptococcus ) , Escherichia coli , Staphylococcus aureus and enterococcus faecalis .AV pregnant premature rupture of membranes , chorioamnionitis , higher incidence of postpartum hemorrhage ( P <0.05).After application of clindamycin treatment , more significantly reduced the incidence of pregnancy outcome.Conclusions AV pregnancy can lead to premature rupture of membranes , chorioamnionitis, postpartum hemorrhage; standard therapy can improve pregnancy outcomes , which is worthy of clinical application .