中华实验和临床感染病杂志（电子版）
中華實驗和臨床感染病雜誌（電子版）
중화실험화림상감염병잡지（전자판）
CHINESE JOURNAL OF EXPERIMENTAL AND CLINICAL INFECTIOUS DISEASES(ELECTRONIC VERSION)
2015年
3期
359-361
,共3页
妊娠末期%下生殖道感染%妊娠结局%相关性分析
妊娠末期%下生殖道感染%妊娠結跼%相關性分析
임신말기%하생식도감염%임신결국%상관성분석
End of pregnancy%Lower genital tract infections%Pregnancy outcomes%Correlation analysis
目的：对妊娠末期下生殖道感染与孕产妇妊娠结局的相关性进行研究，为临床防治下生殖道感染提供理论依据。方法将2013年6月至2014年5月本院产科妊娠末期有下生殖道感染的女性患者共90例列入研究组，同期进行产检的妊娠末期无下生殖道感染的女性患者90例列入对照组，均随访至产后1周，行宫颈分泌物病原菌检测，对妊娠结局进行比较分析。结果妊娠末期下生殖道感染病例病原菌检出情况包括细菌性阴道病28.89%（26/90）、假丝酵母菌病11.11%（10/90）、支原体24.44%（22/90）、衣原体13.33%（12/90）、淋球菌2.22%（2/90）、滴虫性阴道炎13.33%（12/90）以及β-溶血性链球菌6.67%（6/90）。研究组胎膜早破、早产、产褥感染、新生儿感染和低体质量儿的发生率分别为11.11%、10%、7.78%、7.78%和7.78%，对照组分别为3.33%、2.22%、1.11%、1.11%和1.11%，两组差异具有统计学意义（χ2=4.063、4.744、4.709、4.709、4.709，P均＜0.05）。结论妊娠末期下生殖道感染对女性妊娠结局具有巨大影响，临床医师应积极作好防治工作，减少不良妊娠结局的发生率。
目的：對妊娠末期下生殖道感染與孕產婦妊娠結跼的相關性進行研究，為臨床防治下生殖道感染提供理論依據。方法將2013年6月至2014年5月本院產科妊娠末期有下生殖道感染的女性患者共90例列入研究組，同期進行產檢的妊娠末期無下生殖道感染的女性患者90例列入對照組，均隨訪至產後1週，行宮頸分泌物病原菌檢測，對妊娠結跼進行比較分析。結果妊娠末期下生殖道感染病例病原菌檢齣情況包括細菌性陰道病28.89%（26/90）、假絲酵母菌病11.11%（10/90）、支原體24.44%（22/90）、衣原體13.33%（12/90）、淋毬菌2.22%（2/90）、滴蟲性陰道炎13.33%（12/90）以及β-溶血性鏈毬菌6.67%（6/90）。研究組胎膜早破、早產、產褥感染、新生兒感染和低體質量兒的髮生率分彆為11.11%、10%、7.78%、7.78%和7.78%，對照組分彆為3.33%、2.22%、1.11%、1.11%和1.11%，兩組差異具有統計學意義（χ2=4.063、4.744、4.709、4.709、4.709，P均＜0.05）。結論妊娠末期下生殖道感染對女性妊娠結跼具有巨大影響，臨床醫師應積極作好防治工作，減少不良妊娠結跼的髮生率。
목적：대임신말기하생식도감염여잉산부임신결국적상관성진행연구，위림상방치하생식도감염제공이론의거。방법장2013년6월지2014년5월본원산과임신말기유하생식도감염적녀성환자공90례렬입연구조，동기진행산검적임신말기무하생식도감염적녀성환자90례렬입대조조，균수방지산후1주，행궁경분비물병원균검측，대임신결국진행비교분석。결과임신말기하생식도감염병례병원균검출정황포괄세균성음도병28.89%（26/90）、가사효모균병11.11%（10/90）、지원체24.44%（22/90）、의원체13.33%（12/90）、림구균2.22%（2/90）、적충성음도염13.33%（12/90）이급β-용혈성련구균6.67%（6/90）。연구조태막조파、조산、산욕감염、신생인감염화저체질량인적발생솔분별위11.11%、10%、7.78%、7.78%화7.78%，대조조분별위3.33%、2.22%、1.11%、1.11%화1.11%，량조차이구유통계학의의（χ2=4.063、4.744、4.709、4.709、4.709，P균＜0.05）。결론임신말기하생식도감염대녀성임신결국구유거대영향，림상의사응적겁작호방치공작，감소불량임신결국적발생솔。
Objective To investigate the correlation of lower genital tract infection in late pregnancy and pregnancy outcome, and to provide a theoretical basis for clinical prevention and treatment of lower genital tract. Methods Total of 90 pregnant women with lower genital tract infection in late pregnancy were selected as the research group from June 2013 to May 2014. While 90 pregnant women without lower genital tract infections were selected as the control group during the same period. All of them were followed up to one week postpartum, cervical secretions pathogen of two groups were detected, respectively and pregnancy outcomes in two groups were compared and analyzed. Results The end of pregnancy lower genital tract infection pathogens in detection, including bacterial vaginosis as 28.89%(26/90), candidiasis as 11.11%(10/90), mycoplasma as 24.44%(22/90), chlamydia as 13.33%(12/90), gonorrhea as 2.22%(2/90), trichomonal vaginitis as 13.33%(12/90) andβ-hemolytic streptococcus as 6.67%(6/90). The incidences of maternal premature rupture of membranes, preterm labor, puerperal infection, neonatal infection and low body weight children in research group were 11.11%, 10%, 7.78%, 7.78%and 7.78%, respectively;while in the control group, were 3.33%, 2.22 %, 1.11%, 1.11% and 1.11%, respectively, there were significant difference between the two groups (χ2=4.063, 4.744, 4.709, 4.709 and 4.709;P all<0.05). Conclusions Lower genital tract infections have a huge impact on women pregnancy outcomes in late pregnancy, the clinical doctor should actively make prevention work to reduce the incidence of adverse pregnancy outcome.
