1 000例产前B族链球菌筛查的临床分析
发布时间：2018-08-02 15:09
【摘要】：目的研究产前筛查B族链球菌(GBS)方法的建立及其对母婴感染防控作用。方法选取2013年12月至2015年1月西藏军区总医院进行产前体检的孕妇1 000例,进行阴道口1、3及肛周拭子,做GBS筛查。筛查后分为阳性和阴性两组,根据孕妇意愿阳性携带者分GBS干预治疗组(M组)与不干预治疗组(N组),记录两组产后出血,死产,产后10d有无发热,产后住院3d内每日最高体温等情况,及新生儿出生体质量、Apgar评分等内容,随访新生儿产后7d内有无发热、肺炎、败血症、脑膜炎等症状。结果 M组的流产数、早产数、胎膜早破数、产褥感染数及胎儿窘迫数,产后出血率、死产率,产后住院3d内每日最高体温(≥37.5℃)的比例及产后10d内发热数等指标明显低于N组(P0.05)。两组新生儿体质量均在正常范围内,Apgar评分正常,而M组的产后1周内发热、肺炎、败血症、脑膜炎等症状的发生率均低于N组(P0.05)。结论产前GBS筛选可以显著提高新生儿相关安全性指标。
[Abstract]:Objective to study the establishment of prenatal screening method for group B streptococcus (GBS) and its effect on prevention and control of mother-to-child infection. Methods from December 2013 to January 2015, 1 000 pregnant women who underwent antenatal examination in the General Hospital of Tibet military region were selected for GBS screening. After screening, positive and negative carriers were divided into two groups: GBS intervention group (group M) and non-intervention group (group N). Postpartum hemorrhage, stillbirth and fever were recorded in both groups. After 3 days of postpartum hospitalization, the highest body temperature and neonatal birth weight Apgar score were observed. There were no symptoms such as fever, pneumonia, septicemia, meningitis and so on. Results in group M, the number of abortion, premature delivery, premature rupture of membranes, puerperal infection and fetal distress, postpartum hemorrhage rate, stillbirth rate, The ratio of daily maximum body temperature (鈮，
本文编号：2159830
[Abstract]:Objective to study the establishment of prenatal screening method for group B streptococcus (GBS) and its effect on prevention and control of mother-to-child infection. Methods from December 2013 to January 2015, 1 000 pregnant women who underwent antenatal examination in the General Hospital of Tibet military region were selected for GBS screening. After screening, positive and negative carriers were divided into two groups: GBS intervention group (group M) and non-intervention group (group N). Postpartum hemorrhage, stillbirth and fever were recorded in both groups. After 3 days of postpartum hospitalization, the highest body temperature and neonatal birth weight Apgar score were observed. There were no symptoms such as fever, pneumonia, septicemia, meningitis and so on. Results in group M, the number of abortion, premature delivery, premature rupture of membranes, puerperal infection and fetal distress, postpartum hemorrhage rate, stillbirth rate, The ratio of daily maximum body temperature (鈮，
本文编号：2159830
本文链接：https://www.wllwen.com/linchuangyixuelunwen/2159830.html
最近更新
教材专著
