现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
10期
1459-1460
,共2页
胎膜早破%妊娠结局%阴道病,细菌性%阴道微生态
胎膜早破%妊娠結跼%陰道病,細菌性%陰道微生態
태막조파%임신결국%음도병,세균성%음도미생태
Fetal membranes,premature rupture%Pregnancy outcome%Vaginosis,bacterial%Vaginal microecological
目的：探讨胎膜早破对妊娠结局的影响及阴道微生态干预效果。方法选择2010年7月至2012年12月妇产科收治的妊娠期合并细菌性阴道病患者200例，分为干预组和对照组各100例。干预组患者采用口服克林霉素方法进行干预；对照组患者未进行干预，对两组患者临床干预后效果及妊娠结局等进行分析。结果干预组患者干预后白带增多、白带腥臭味、阴道pH≥4.5、线索细胞、氨试验等优于对照组，差异均有统计学意义（P＜0.05）；干预组患者剖宫产、胎膜早破、早产、新生儿窒息等发生情况均低于对照组，差异均有统计学意义（P＜0.05）；两组发生胎膜早破患者共计22例，剖宫产18例，早产10例，新生儿窒息4例。结论细菌性阴道病患者应进行及时干预，避免不良妊娠结局胎膜早破的发生，从而减少母体感染和新生儿并发症，提高新生儿存活率，延长孕周。
目的：探討胎膜早破對妊娠結跼的影響及陰道微生態榦預效果。方法選擇2010年7月至2012年12月婦產科收治的妊娠期閤併細菌性陰道病患者200例，分為榦預組和對照組各100例。榦預組患者採用口服剋林黴素方法進行榦預；對照組患者未進行榦預，對兩組患者臨床榦預後效果及妊娠結跼等進行分析。結果榦預組患者榦預後白帶增多、白帶腥臭味、陰道pH≥4.5、線索細胞、氨試驗等優于對照組，差異均有統計學意義（P＜0.05）；榦預組患者剖宮產、胎膜早破、早產、新生兒窒息等髮生情況均低于對照組，差異均有統計學意義（P＜0.05）；兩組髮生胎膜早破患者共計22例，剖宮產18例，早產10例，新生兒窒息4例。結論細菌性陰道病患者應進行及時榦預，避免不良妊娠結跼胎膜早破的髮生，從而減少母體感染和新生兒併髮癥，提高新生兒存活率，延長孕週。
목적：탐토태막조파대임신결국적영향급음도미생태간예효과。방법선택2010년7월지2012년12월부산과수치적임신기합병세균성음도병환자200례，분위간예조화대조조각100례。간예조환자채용구복극림매소방법진행간예；대조조환자미진행간예，대량조환자림상간예후효과급임신결국등진행분석。결과간예조환자간예후백대증다、백대성취미、음도pH≥4.5、선색세포、안시험등우우대조조，차이균유통계학의의（P＜0.05）；간예조환자부궁산、태막조파、조산、신생인질식등발생정황균저우대조조，차이균유통계학의의（P＜0.05）；량조발생태막조파환자공계22례，부궁산18례，조산10례，신생인질식4례。결론세균성음도병환자응진행급시간예，피면불량임신결국태막조파적발생，종이감소모체감염화신생인병발증，제고신생인존활솔，연장잉주。
Objective To investigate the intervention effect of premature rupture of membranes on pregnancy outcome and vaginal microecosystem. Methods Totally 200 pregnant patients with bacterial vaginosis ,who received treatment in Depart-ment of Gynaecology and Obstetrics in the hospital from June 2010 to December 2012 , were selected and divided into interven-tion group and control group,100 cases in each group. The intervention group were treated with oral clindamycin for intervention , while the control group was without intervention. Clinical intervention effect ,pregnancy outcome and so on in the two groups were analyzed. Results The leucorrhea in intervention group increased after intervention with strongly smell,vaginal pH≥4.5,clue cells,ammonia test and so on,which were superior to those in the control group,the difference showed statistical significance(P<0.05). The occurrences of caesarean section,premature rupture of membranes,premature delivery and neonatal asphyxia in the intervention group were lower than those in the control group with statistically significant difference (P<0.05). There were totally 22 cases with premature rupture of membranes in the two groups,including 18 cases of cesarean section,10 cases of premature delivery and the other 4 cases of neonatal asphyxia. Conclusion The bacterial vaginosis should be intervened timely to avoid the occurrence of premature rupture of membranes,reduce the maternal infection and neonatal complications,improve the survival rate and prolong gestational weeks.
