CAJ | 학술논문

目的:通过对妊娠合并尿路感染的临床特征分析,以提高对其诊治水平.方法:回顾性分析64例妊娠期(妊娠组)与624例非妊娠的生育期妇女(非妊娠组)尿路感染的临床资料.结果:妊娠组无症状性尿路感染的发生率和急性肾盂肾炎发生比例均高于非妊娠组(分别为 p <0.001、p <0.01),二组主要病原菌均为大肠埃希氏菌,但妊娠组在分布上更集中,随访妊娠组尿路感染复发率高于非妊娠组.结论:妊娠合并尿路感染以大肠埃希氏菌最常见,临床上无症状性菌尿及急性肾盂肾炎发生率高于非妊娠的生育期妇女,且治疗后易复发.尿路感染可发生在各年龄段,但女性尤其是妊娠期妇女发生率更高.流行病学显示女性人群的发生率约为2.05%,妊娠期妇女的发生率更高,约为10.2%[1],而严重的妊娠期尿路感染可引起流早产,胎儿宫内发育迟缓、甚至死胎.本文通过对妊娠合并尿路感染临床特征分析以及诊治体会,从而提高对妊娠合并尿路感染患者的诊治水平.
목적:통과대임신합병뇨로감염적림상특정분석,이제고대기진치수평.방법:회고성분석64례임신기(임신조)여624례비임신적생육기부녀(비임신조)뇨로감염적림상자료.결과:임신조무증상성뇨로감염적발생솔화급성신우신염발생비례균고우비임신조(분별위 p <0.001、p <0.01),이조주요병원균균위대장애희씨균,단임신조재분포상경집중,수방임신조뇨로감염복발솔고우비임신조.결론:임신합병뇨로감염이대장애희씨균최상견,림상상무증상성균뇨급급성신우신염발생솔고우비임신적생육기부녀,차치료후역복발.뇨로감염가발생재각년령단,단녀성우기시임신기부녀발생솔경고.류행병학현시녀성인군적발생솔약위2.05%,임신기부녀적발생솔경고,약위10.2%[1],이엄중적임신기뇨로감염가인기류조산,태인궁내발육지완、심지사태.본문통과대임신합병뇨로감염림상특정분석이급진치체회,종이제고대임신합병뇨로감염환자적진치수평.
Objective:through the analysis of the clinical characteristics of urinary tract infection in patients with pregnancy, in order to improve the level of diagnosis and treatment.Methods:a retrospective analysis of 64 cases of pregnancy ( pregnancy group ) and 624 cases of non pregnant women of reproductive age ( non preg nant group) clinical data of urinary tract infection.Result:no incidence of acute pyelonephritis and incidence of symptomatic urinary tract infection in pregnancy group were higher than that of non-pregnant group (P < 0.001, P < 0.01 ), two groups of the main pathogens were Escherichia coli, but pregnancy group focus on the distribution, the recurrence rate is higher than the non-pregnant group folow-up pregnancy group of urinary tract infection.Conclusion:urinary tract infection with Escherichia coli was the most common clinical pregnancy, asymptomatic bacteriuria and acute pyelonephritis incidence was higher than that of non-pregnant women of childbearing age, and is easy to recur after therapy.Can occur in al ages of urinary tract infection, but women, especialy pregnant women have higher rates of. Epidemiological studies have shown the incidence rate of about 2.05% women, pregnant women have higher rates, about 10.2%[1], while the pregnancy serious urinary tract infection can cause the flow of premature birth, intrauterine growth retardation, and even stilbirth. Based on the clinical experience of pregnancy complicated with urinary tract infection feature analysis and diagnosis, so as to improve the level of diagnosis and treatment of pregnancy complicated with urinary tract infection.