中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
22期
47-50
,共4页
下生殖道感染%胎膜早破%母婴结局
下生殖道感染%胎膜早破%母嬰結跼
하생식도감염%태막조파%모영결국
Lower genital tract infection%Premature rupture of membranes%Maternal and child outcomes
目的：探讨下生殖道感染对胎膜早破及母婴结局的影响。方法选择胎膜早破孕妇413例为研究组。根据是否足月分为足月亚组和未足月亚组。同时选择无胎膜早破孕妇420例为对照组。对所有纳入研究的的对象宫颈分泌物检测衣原体、支原体，阴道分泌物检测假似酵母菌、细菌检测、滴虫，并取胎膜进行病理学检查，分析下生殖道感染对胎膜早破及母婴结局的影响。结果胎膜早破组发生支原体感染、衣原体感染、细菌性阴道病、假丝酵母菌、滴虫感染率显著高于未胎膜早破组(P<0.01或P<0.05)。胎膜早破孕妇，未足月亚组支原体、衣原体、细菌性阴道病、假丝酵母菌、滴虫感染率显著高于足月亚组(P<0.01或P<0.05)。下生殖道感染孕妇早产、产褥感染、绒毛膜羊膜炎、新生热肺炎发生率显著高于未感染孕妇(P<0.01)；胎膜早破组早产、产褥感染、绒毛膜羊膜炎、新生热肺炎发生率显著高于未胎膜早破组(P<0.01)。结论下生殖道感染增加胎膜早破几率，也是导致母婴不良结局重要因素。
目的：探討下生殖道感染對胎膜早破及母嬰結跼的影響。方法選擇胎膜早破孕婦413例為研究組。根據是否足月分為足月亞組和未足月亞組。同時選擇無胎膜早破孕婦420例為對照組。對所有納入研究的的對象宮頸分泌物檢測衣原體、支原體，陰道分泌物檢測假似酵母菌、細菌檢測、滴蟲，併取胎膜進行病理學檢查，分析下生殖道感染對胎膜早破及母嬰結跼的影響。結果胎膜早破組髮生支原體感染、衣原體感染、細菌性陰道病、假絲酵母菌、滴蟲感染率顯著高于未胎膜早破組(P<0.01或P<0.05)。胎膜早破孕婦，未足月亞組支原體、衣原體、細菌性陰道病、假絲酵母菌、滴蟲感染率顯著高于足月亞組(P<0.01或P<0.05)。下生殖道感染孕婦早產、產褥感染、絨毛膜羊膜炎、新生熱肺炎髮生率顯著高于未感染孕婦(P<0.01)；胎膜早破組早產、產褥感染、絨毛膜羊膜炎、新生熱肺炎髮生率顯著高于未胎膜早破組(P<0.01)。結論下生殖道感染增加胎膜早破幾率，也是導緻母嬰不良結跼重要因素。
목적：탐토하생식도감염대태막조파급모영결국적영향。방법선택태막조파잉부413례위연구조。근거시부족월분위족월아조화미족월아조。동시선택무태막조파잉부420례위대조조。대소유납입연구적적대상궁경분비물검측의원체、지원체，음도분비물검측가사효모균、세균검측、적충，병취태막진행병이학검사，분석하생식도감염대태막조파급모영결국적영향。결과태막조파조발생지원체감염、의원체감염、세균성음도병、가사효모균、적충감염솔현저고우미태막조파조(P<0.01혹P<0.05)。태막조파잉부，미족월아조지원체、의원체、세균성음도병、가사효모균、적충감염솔현저고우족월아조(P<0.01혹P<0.05)。하생식도감염잉부조산、산욕감염、융모막양막염、신생열폐염발생솔현저고우미감염잉부(P<0.01)；태막조파조조산、산욕감염、융모막양막염、신생열폐염발생솔현저고우미태막조파조(P<0.01)。결론하생식도감염증가태막조파궤솔，야시도치모영불량결국중요인소。
Objective To study effect of lower genital tract infection on premature rupture of membranes and maternal and child outcomes. Methods Selected 413 cases with lower genital tract infection on premature rupture of membranes and maternal and child outcomes were divided into term subgroup and preterm subgroup. Selected 420 cases without premature rupture of membranes as control group. Cervical secretions were collected to detect Chlamydia and My-coplasma, and vaginal secretions were collected to detect candida yeast, bacteria and trichomoniasis. Membranes were collected for pathological examination. Effect of lower genital tract infection on premature rupture of membranes and maternal and child outcomes was analyzed. Results Mycoplasma infection, chlamydia infection, bacterial vaginosis,candida, trichomonas infection rates of premature rupture of membranes group were higher than control group(P<0.01 or P<0.05). In group of premature rupture of membranes, Mycoplasma infection, chlamydia infection, bacterial vagi-nosis, candida, trichomonas infection rates of preterm subgroup were higher than term subgroup(P<0.01 or P<0.05). Premature birth, puerperal infection, chorioamnionitis, neonatal pneumonia incidence of cases with lower genital tract infection were higher(P<0.01);premature birth, puerperal infection, chorioamnionitis, neonatal pneumonia incidence of premature rupture of membranes group were higher(P<0.01). Conclusion Lower genital tract infection increases the chance of premature rupture of membranes,and is an important factor leading to maternal and infant adverse outcomes.
