黑龙江医学
黑龍江醫學
흑룡강의학
HEILONGJIANG MEDICAL JOURNAL
2015年
6期
618-620
,共3页
陆洋%马雪枫%李晓红%彭珊珊%任利容
陸洋%馬雪楓%李曉紅%彭珊珊%任利容
륙양%마설풍%리효홍%팽산산%임리용
难免流产%组织学绒毛膜羊膜炎%生殖道感染%血常规C-反应蛋白
難免流產%組織學絨毛膜羊膜炎%生殖道感染%血常規C-反應蛋白
난면유산%조직학융모막양막염%생식도감염%혈상규C-반응단백
Inevitable abortion%Histologic chorioamnionitis%Reproductive tract infections%Blood routine examination%C-reactive protein
目的:探讨孕期生殖道感染与难免流产的关系。方法选取2013-01~2014-07间在我院收治并分娩的难免流产患者共173例,根据胎盘病理结果分为组织学绒毛膜羊膜炎组111例( A组)和无绒毛膜羊膜炎组62例( B组),所有病例均进行生殖道支原体、衣原体PCR培养及细菌培养(包括需氧菌和厌氧菌),同时采血液学指标血常规白细胞计数、中性粒细胞比值及CRP水平的测定,并进行统计分析。结果 A组和B组支原体、衣原体及细菌培养阳性率明显高于B组,两组间有显著性差异(P<0.05),其中A组的细菌培养超过50%以上为厌氧菌假丝酵母菌感染, A组白细胞计数及C反应蛋白(CRP)水平高于B组,两组间有统计学差异( P<0.05),而A组和B组的中性粒细胞比值差异无统计学意义( P>0.05)。结论生殖道感染尤其是假丝酵母菌、支原体、大肠埃希氏菌等致病菌导致的绒毛膜羊膜炎可能是难免流产发生的原因之一。孕期对高危孕妇进行生殖道病原体的筛查及早期干预,对改善妊娠结局具有一定的临床意义。
目的:探討孕期生殖道感染與難免流產的關繫。方法選取2013-01~2014-07間在我院收治併分娩的難免流產患者共173例,根據胎盤病理結果分為組織學絨毛膜羊膜炎組111例( A組)和無絨毛膜羊膜炎組62例( B組),所有病例均進行生殖道支原體、衣原體PCR培養及細菌培養(包括需氧菌和厭氧菌),同時採血液學指標血常規白細胞計數、中性粒細胞比值及CRP水平的測定,併進行統計分析。結果 A組和B組支原體、衣原體及細菌培養暘性率明顯高于B組,兩組間有顯著性差異(P<0.05),其中A組的細菌培養超過50%以上為厭氧菌假絲酵母菌感染, A組白細胞計數及C反應蛋白(CRP)水平高于B組,兩組間有統計學差異( P<0.05),而A組和B組的中性粒細胞比值差異無統計學意義( P>0.05)。結論生殖道感染尤其是假絲酵母菌、支原體、大腸埃希氏菌等緻病菌導緻的絨毛膜羊膜炎可能是難免流產髮生的原因之一。孕期對高危孕婦進行生殖道病原體的篩查及早期榦預,對改善妊娠結跼具有一定的臨床意義。
목적:탐토잉기생식도감염여난면유산적관계。방법선취2013-01~2014-07간재아원수치병분면적난면유산환자공173례,근거태반병리결과분위조직학융모막양막염조111례( A조)화무융모막양막염조62례( B조),소유병례균진행생식도지원체、의원체PCR배양급세균배양(포괄수양균화염양균),동시채혈액학지표혈상규백세포계수、중성립세포비치급CRP수평적측정,병진행통계분석。결과 A조화B조지원체、의원체급세균배양양성솔명현고우B조,량조간유현저성차이(P<0.05),기중A조적세균배양초과50%이상위염양균가사효모균감염, A조백세포계수급C반응단백(CRP)수평고우B조,량조간유통계학차이( P<0.05),이A조화B조적중성립세포비치차이무통계학의의( P>0.05)。결론생식도감염우기시가사효모균、지원체、대장애희씨균등치병균도치적융모막양막염가능시난면유산발생적원인지일。잉기대고위잉부진행생식도병원체적사사급조기간예,대개선임신결국구유일정적림상의의。
Objective To investigate the relationship between the reproductive tract infection during pregnancy and inevitable abor -tion.Methods Choosing 173 patients with inevitable abortion and childbirth from January , 2013 to July, 2014 in the hospital.According to the results of the placental pathology , dividing them into histology chorionic amniotic membrane inflammation group (111 cases) as group A and no chorionic amniotic membrane inflammation group ( 62 cases ) as group B.All cases were genital tract mycoplasma , chlamydia PCR cultivation and bacteria ( including aerobic and anaerobic bacteria ) , at the same time adopting hematology indexes of blood routine and CRP levels of white blood cell count , neutrophils ratio measurement and statistical analysis .Results Mycoplasma, chlamydia and bacteria culture in group A are significantly higher than those of group B .There are significant differences between the two groups (P<0.05).Bac-terial culture of group A is anaerobic bacteria candida yeast infection standing for more than 50%.White blood cell count and C -reactive protein ( CRP) levels of group A are higher than those of group B , and there is the difference between the two groups ( P<0.05 ) , while in group A and group B, there is no statistical difference of the neutrophils ratio (P>0.05).Conclusion Reproductive tract infections espe-cially candida , mycoplasma , e.coli bacteria and other pathogens of chorioamnionitis may be a reason of inevitable abortion .For high-risk pregnant women during pregnancy screening and early intervention of reproductive tract pathogens can improve the pregnancy outcome , and has a certain clinical significance .