孕妇妊娠晚期B族链球菌感染对妊娠结局及新生儿的影响

发布时间：2018-03-22 19:06

本文选题：妊娠晚期　切入点：B族链球菌感染　出处：《实用妇科内分泌杂志(电子版)》2017年03期 　论文类型：期刊论文

【摘要】：目的观察孕妇妊娠晚期B族链球菌感染对妊娠结局及新生儿的影响。方法统计本院于2014年12月至2015年6月收治的妇产科检查孕妇共计326例作为研究对象,对所有产妇的B族链球菌感染概率进行统计,对比感染与非感染组孕妇的妊娠结局以及新生儿的综合情况。结果本次研究的326例孕妇中,有29例B族链球菌感染呈阳性,占比8.90%,其余297例孕妇B族链球菌感染结果呈阴性,占比91.10%;29例B族链球菌感染阳性孕妇的妊娠结局为:5例宫内感染,占17.24%;3例产后出血,占10.34%;7例早产,占24.14%;14例胎儿窘迫,占48.28%;6例羊水污染,占20.69%。新生儿5例宫内感染,占17.24%;3例肺炎,占10.34%;6例病理性黄疸,占20.69%;3例窒息,占10.34%。297例B族链球菌感染阴性孕妇的妊娠结局为:13例宫内感染,占4.38%;9例产后出血,占3.03%;23例早产,占7.74%;69例胎儿窘迫,占23.23%;16例羊水污染,占6.40%。新生儿11例宫内感染,占3.70%;8例肺炎,占2.69%;19例病理性黄疸,占6.40%;9例窒息,占3.03%。两组孕妇的妊娠结局各指标和新生儿综合情况指标之间均具有明显的统计学差异(P0.05)。结论孕妇妊娠晚期B族链球菌感染更容易引发不良妊娠结局,同时也会对新生儿造成负面影响。因此应当提高对孕妇B族链球菌感染的重视程度,做好预防,一旦发现,应及早干预治疗,确保围产期母婴健康。
[Abstract]:Objective to observe the effect of group B streptococcus infection in late pregnancy on pregnancy outcome and newborn. Methods 326 pregnant women who were admitted to our hospital from December 2014 to June 2015 were studied. The probability of group B streptococcus infection in all parturients was statistically analyzed, and the pregnancy outcome and the comprehensive situation of newborns in infected and non-infected pregnant women were compared. Results among 326 pregnant women in this study, 29 cases were positive for Group B streptococcus infection. The results of the other 297 pregnant women with Group B streptococcus infection were negative, and the pregnancy outcome of 29 pregnant women with positive group B streptococcus infection was 5 cases of intrauterine infection, 17.24 cases of postpartum hemorrhage, 10.34% of premature delivery, and 24.14 cases of fetal distress. There were 6 cases of amniotic fluid pollution, accounting for 20.69% of amniotic fluid pollution, 5 cases of intrauterine infection, 17.2424 cases of pneumonia, 10.3434 cases of pathological jaundice, 20.699 cases of asphyxia, 10.34.297 cases of group B streptococcus infection negative pregnant women, the pregnancy outcome was 13 cases of intrauterine infection, 9 cases of postpartum hemorrhage. There were 23 cases of premature delivery, 7.74 cases of fetal distress, 23.23 cases of amniotic fluid pollution, 6.40% of amniotic fluid pollution, 11 cases of intrauterine infection, 3.70 cases of pneumonia, 2.69% of pathological jaundice, 6.40 cases of asphyxia, and 2.69% of pathological jaundice. There were significant statistical differences between the two groups of pregnant women's pregnancy outcome indexes and neonatal comprehensive conditions. Conclusion pregnant women with Group B Streptococcus infection in late pregnancy are more likely to cause adverse pregnancy outcomes. Therefore, we should pay more attention to group B streptococcus infection of pregnant women and prevent it. Once found, we should intervene early to ensure the health of perinatal mothers and infants.
【作者单位】：重庆市渝中区大坪医院门诊产科;
【分类号】：R714.7

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