CAJ | 학술논문

目的：探讨妊娠晚期妇女 B 族链球菌（group B streptococcus，GBS）带菌情况与母婴预后的关系。方法回顾性分析2013年1月至2014年9月在中山市博爱医院妇产科住院的2800例妊娠晚期孕妇的临床资料，筛选出其中泌尿生殖道 B 族溶血性链球菌检测为阳性的160例孕妇为观察组，选取160例阴性结果孕妇为对照组，比较两组母婴预后状况。结果160例阳性患者均出现相应的临床症状，经治疗后118例治愈，治愈率达73.75%。治疗后发病57例，发病率为35.63%。观察组羊水污染率、新生儿感染率及宫内感染率均高于对照组（P ＜0.05）；观察组剖宫产率高于对照组（P ＜0.05）。结论妊娠晚期阴道及泌尿系统携带有 B 族溶血性链球菌，可增加宫内感染、羊水污染、胎儿宫内窘迫、新生儿感染率，并可增加剖宫产率。
목적：탐토임신만기부녀 B 족련구균（group B streptococcus，GBS）대균정황여모영예후적관계。방법회고성분석2013년1월지2014년9월재중산시박애의원부산과주원적2800례임신만기잉부적림상자료，사선출기중비뇨생식도 B 족용혈성련구균검측위양성적160례잉부위관찰조，선취160례음성결과잉부위대조조，비교량조모영예후상황。결과160례양성환자균출현상응적림상증상，경치료후118례치유，치유솔체73.75%。치료후발병57례，발병솔위35.63%。관찰조양수오염솔、신생인감염솔급궁내감염솔균고우대조조（P ＜0.05）；관찰조부궁산솔고우대조조（P ＜0.05）。결론임신만기음도급비뇨계통휴대유 B 족용혈성련구균，가증가궁내감염、양수오염、태인궁내군박、신생인감염솔，병가증가부궁산솔。
Objective To investigate the relationship between group B streptococcus(GBS)in late pregnant women and maternal- neonatal outcomes. Methods Clinical data of 2800 late pregnant women in Boai Hospital of Zhongshan City during Jan 2013 to Sep 2014 were retrospectively analyzed,160 GBS positive cases were selected as observation group,and 160 GBS negative cases were selected as control group. The maternal - neonatal outcomes of two groups were compared. Results Clinical symptoms appeared in 160 GBS positive cases. 118 patients were cured after treatment,the cure rate was 73. 75 % . 57 cases were at onset,the incidence was 35. 63 % . The amniotic fluid contamination rate,infection rate of newborn and intrauterine infection rate in observation group were higher than those in control group( P < 0. 05). The cesarean section rate of observation group was significantly higher than that of control group(P < 0. 05). Conclusion The GBS infection in late pregnancy can increase intrauterine infection ,amniotic fluid contamination,fetal distress in uterus,infection rate of newborn,and the cesarean section rate.