CAJ | 학술논문

目的：生殖道感染管理与未管理对妊娠中早期的影响。方法选取2012年2月—2014年6月在该院初产检并进行产前保健分娩的初产妇1090例，所有孕妇均进行感染检查，根据其检查结果分为正常组520例和感染组570例。再按照有无实施感染管理情况将感染组分为管理组360例，未管理组210例。统计分析3组产妇妊娠结局情况，并对比。结果未管理组和管理组的总妊娠不良率明显高于正常组孕妇，差异有统计学意义（P＜0.05）；管理组、未管理组患者早产率、胎膜早破率、新生儿感染率、窒息率、稽留流产率等均明显高于正常组，差异有统计学意义（P＜0.05）；未管理组的妊娠不良率为28.57%，明显高于管理组孕妇20.28，差异有统计学意义（P＜0.05）；单一感染孕妇中未管理组不良妊娠率为26.67%，明显高于管理组13.41%，差异有统计学意义（P＜0.05）；多种感染孕妇中未管理组不良妊娠率为30.30%明显高于管理组20.86%，差异有统计学意义（P＜0.05）。结论孕妇早中期出现生殖器感染会增加早产率、胎膜早破率、新生儿感染率、窒息率、稽留流产率等不良妊娠发生率，对妊娠期妇女实施感染管理措施，在医生的指导下定期进行常规感染检查治疗，能有效降低妊娠不良率。
목적：생식도감염관리여미관리대임신중조기적영향。방법선취2012년2월—2014년6월재해원초산검병진행산전보건분면적초산부1090례，소유잉부균진행감염검사，근거기검사결과분위정상조520례화감염조570례。재안조유무실시감염관리정황장감염조분위관리조360례，미관리조210례。통계분석3조산부임신결국정황，병대비。결과미관리조화관리조적총임신불량솔명현고우정상조잉부，차이유통계학의의（P＜0.05）；관리조、미관리조환자조산솔、태막조파솔、신생인감염솔、질식솔、계류유산솔등균명현고우정상조，차이유통계학의의（P＜0.05）；미관리조적임신불량솔위28.57%，명현고우관리조잉부20.28，차이유통계학의의（P＜0.05）；단일감염잉부중미관리조불량임신솔위26.67%，명현고우관리조13.41%，차이유통계학의의（P＜0.05）；다충감염잉부중미관리조불량임신솔위30.30%명현고우관리조20.86%，차이유통계학의의（P＜0.05）。결론잉부조중기출현생식기감염회증가조산솔、태막조파솔、신생인감염솔、질식솔、계류유산솔등불량임신발생솔，대임신기부녀실시감염관리조시，재의생적지도하정기진행상규감염검사치료，능유효강저임신불량솔。
Objective Impact management of early and mid-pregnancy outcome of reproductive tract infections. Methods To select 1090 cases entered in our hospital from February 2012 to June 2014 in our hospital for production inspection and delivery of early maternal prenatal care, all pregnant women are infected with inspection, according to the test, the results are classified into normal group 520 cases and 570 infected group as examples. Then follow the implementation of infection control whether the case management group infected group was divided into 360 cases, 210 cases of the group did not man-age. Basing on the Statistical analysis of three groups of maternal pregnancy outcomes, make a comparison. Results No management group and the overall management of poor pregnancy rate was significantly higher than normal group of preg-nant women, the difference was significant(P<0.05);the management group, the management group is not preterm birth rates in patients with premature rupture of membranes rate, neonatal infection, asphyxia, etc missed abortion rate significantly higher than the normal group, the difference was significant (P<0.05);unmanaged group of poor pregnancy rate 28.57%, sig-nificantly higher than the management group of pregnant women 20.28, the difference was significant (P<0.05);single infec-tion in pregnant women No management of adverse pregnancy rate was 26.67%, significantly higher than the management group 13.41%, the difference was significant (P<0.05);a variety of infections in pregnant women are not management of ad-verse pregnancy rate was 30.30% 20.86% was significantly higher than the management group, the difference was signifi-cant (P<0.05). Conclusion The early and mid genital infections in pregnant women can increase, the Preterm birth rate, the rate of premature rupture of membranes, neonatal infection, asphyxia, missed abortion rate and other incidence of adverse pregnancy, pregnant women infected with the implementation of management measures, under the guidance of a doctor reg-ula rly for routine examination and treatment of infection, can effectively reduce poor pregnancy rate.