中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
2期
234
,共1页
邹清如%黄利兰%蔡芬兰%张妍琳
鄒清如%黃利蘭%蔡芬蘭%張妍琳
추청여%황리란%채분란%장연림
妊娠早期%阴道涂片%阴道微生态%菌群%妊娠结局
妊娠早期%陰道塗片%陰道微生態%菌群%妊娠結跼
임신조기%음도도편%음도미생태%균군%임신결국
Early pregnancy%Vaginal smear%Vaginal microecology%Flora%Pregnancy outcome
目的:分析妊娠早期阴道菌群变化情况,探讨其对妊娠结局的影响.方法:对4282例产妇进行阴道分泌物涂片,采用Nugent评分及阴道菌群检查来评估其阴道菌群变化并随访其妊娠结局.结果:阴道菌群正常653例(15.25%),菌群临界2606例(60.86%),细菌性阴道病(BV)1023例(23.89%);Nugent评分及阴道菌群正常组、菌群临界组、BV组早产发生率分别为3.34%(22/4282)、11.20%(292/4282)、14.08%(144/4282),胎膜早破发生率分别为2.45%(16/4282)、8.60%(224/4282)、9.87%(101/4282),羊水污染发生率分别为4.90%(32/4282)、10.25%(267/4282)、13.49%(138/4282),绒毛膜羊膜炎发生率分别为2.45%(16/4282)、8.48%(221/4282)、9.58%(98/4282),产后子宫内膜炎发生率分别为2.60%(17/4282)、5.56%(146/4282)、9.09%(93/4282).结论:妊娠早期阴道菌群比例失调发生率较高,由此造成的不良的妊娠结局发生率由高到低依次为早产、羊水污染、胎膜早破、绒毛膜羊膜炎、子宫内膜炎.
目的:分析妊娠早期陰道菌群變化情況,探討其對妊娠結跼的影響.方法:對4282例產婦進行陰道分泌物塗片,採用Nugent評分及陰道菌群檢查來評估其陰道菌群變化併隨訪其妊娠結跼.結果:陰道菌群正常653例(15.25%),菌群臨界2606例(60.86%),細菌性陰道病(BV)1023例(23.89%);Nugent評分及陰道菌群正常組、菌群臨界組、BV組早產髮生率分彆為3.34%(22/4282)、11.20%(292/4282)、14.08%(144/4282),胎膜早破髮生率分彆為2.45%(16/4282)、8.60%(224/4282)、9.87%(101/4282),羊水汙染髮生率分彆為4.90%(32/4282)、10.25%(267/4282)、13.49%(138/4282),絨毛膜羊膜炎髮生率分彆為2.45%(16/4282)、8.48%(221/4282)、9.58%(98/4282),產後子宮內膜炎髮生率分彆為2.60%(17/4282)、5.56%(146/4282)、9.09%(93/4282).結論:妊娠早期陰道菌群比例失調髮生率較高,由此造成的不良的妊娠結跼髮生率由高到低依次為早產、羊水汙染、胎膜早破、絨毛膜羊膜炎、子宮內膜炎.
목적:분석임신조기음도균군변화정황,탐토기대임신결국적영향.방법:대4282례산부진행음도분비물도편,채용Nugent평분급음도균군검사래평고기음도균군변화병수방기임신결국.결과:음도균군정상653례(15.25%),균군림계2606례(60.86%),세균성음도병(BV)1023례(23.89%);Nugent평분급음도균군정상조、균군림계조、BV조조산발생솔분별위3.34%(22/4282)、11.20%(292/4282)、14.08%(144/4282),태막조파발생솔분별위2.45%(16/4282)、8.60%(224/4282)、9.87%(101/4282),양수오염발생솔분별위4.90%(32/4282)、10.25%(267/4282)、13.49%(138/4282),융모막양막염발생솔분별위2.45%(16/4282)、8.48%(221/4282)、9.58%(98/4282),산후자궁내막염발생솔분별위2.60%(17/4282)、5.56%(146/4282)、9.09%(93/4282).결론:임신조기음도균군비례실조발생솔교고,유차조성적불량적임신결국발생솔유고도저의차위조산、양수오염、태막조파、융모막양막염、자궁내막염.
Objective:To analyze the changes of vaginal flora in early pregnant women,and explore its impact on pregnancy outcome.Methods:4282 cases of pregnant women's changes of vaginal flora at early pregnancy was estimated by Nugent and vaginal flora inspection on vaginal smears,and the pregnancy outcomes were foloowed up.Results:Normal vaginal flora 653 cases(15.25%),critical state 2606 cases(60.86%),and bacterial vaginosis 1023 cases(23.89%);Rates of preterm in pregnant women with normal vaginal flora,critical, and bacterial vaginosis were respectively 3.34%(22/4282),11.20%(292/4282), and 14.08%(144/4282);rate of premature rupture of membrane(PPROM) 2.45%(16/4282),8.60%(224/4282),and 9.87%(101/4282); amniotic incidence 4.90%(32/4282),10.25%(267/4282),a nd 13.49%(138/4282);rates of chorioamnionitis 2.45%(16/4282), 8.48%(221/4282),and 9.58%(98/4282);rates of postpartum endometritis 2.60%(17/4282),5.56%(146/4282),and 9.09%(93/4282). Conclusion:The incidence of vaginal flora is high in early pregnant women,the resulting adverse pregnancy outcome from high to low as follows: preterm delivery,amniotic,PPROM,chorioamnionitis,and postpartum endometritis.
