孕28周后妊娠合并细菌性阴道病发病分析及对妊娠结局的影响

发布时间：2018-03-30 13:28

本文选题：妊娠　切入点：细菌性阴道病　出处：《中华医院感染学杂志》2017年14期

【摘要】：目的探讨孕28周后妊娠合并细菌性阴道病的发病情况及其对妊娠结局的影响,为临床治疗提供参考依据。方法收集2014-2015年医院孕28周后孕妇1 000例的临床资料,选择妊娠合并细菌性阴道病孕妇145例作为细菌性阴道病组,选择同期正常健康孕妇145例作为对照组;收集所有孕妇的阴道分泌物检查结果、妊娠结局等资料。结果 1 000例孕28周后孕妇中,细菌性阴道病、滴虫性阴道炎、霉菌性阴道炎的发生率分别为14.5%、0.7%、7.2%;孕28~33+6周、孕34~39+6周和孕40~42周妊娠合并细菌性阴道病的发生率比较差异有统计学意义(P0.05),孕34~39+6周妊娠合并细菌性阴道病的发生率最高,为18.8%;细菌性阴道病组治疗患者胎膜早破、新生儿高胆红素血症的发生率低于未治疗患者(P0.05),分娩孕周和新生儿体重高于未治疗患者(P0.05)。结论孕晚期孕妇妊娠合并细菌性阴道病的发病率比较高,对妊娠结局带来不良影响,对妊娠合并细菌性阴道病进行正规治疗可以有效改善妊娠结局。
[Abstract]:Objective to investigate the incidence of bacterial vaginosis after 28 weeks of gestation and its influence on pregnancy outcome in order to provide reference for clinical treatment.Methods the clinical data of 1 000 pregnant women after 28 weeks of pregnancy in 2014-2015 were collected. 145 pregnant women with bacterial vaginosis were selected as the bacterial vaginosis group and 145 normal pregnant women as the control group.Collect all pregnant women's vaginal discharge test results, pregnancy outcome and other data.Results the incidence of bacterial vaginosis, trichomoniasis vaginitis and mycosis vaginitis in 1 000 pregnant women after 28 weeks of gestation were 14.50.72 and 2.833 weeks, respectively.There were significant differences in the incidence of bacterial vaginosis between the 346th week of pregnancy and 4042nd week of pregnancy. The incidence of bacterial vaginosis was the highest in 34396 weeks of pregnancy, 18.8.The rate of premature rupture of membranes in patients with bacterial vaginosis was higher than that in the patients with bacterial vaginosis.The incidence of neonatal hyperbilirubinemia was lower than that of untreated patients (P 0.05).Conclusion the incidence of bacterial vaginosis in pregnant women with late pregnancy is relatively high, which has a negative effect on the outcome of pregnancy. Regular treatment of pregnancy with bacterial vaginosis can effectively improve the outcome of pregnancy.
【作者单位】：嵊州市人民医院妇产科;
【基金】：浙江省医药卫生基金资助项目(2014KYB241)
【分类号】：R714.25

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