孕妇生殖道B族链球菌感染对母婴预后影响的临床研究

发布时间：2018-05-02 20:43

本文选题：生殖道感染 + B族链球菌　；参考：《中国卫生标准管理》2017年27期

【摘要】：目的观察对比发生生殖道B族链球菌感染与未发生生殖道B族链球菌感染孕妇的母婴结局。方法以2015年6月—2017年6月来我院常规孕检的孕妇350例作为研究对象,通过生殖道B族链球菌感染检查将350例孕妇分为感染组和非感染组,对比两组产妇的妊娠结局和新生儿结局,对比不同年龄、产次、流产次数以及是否属于高危孕妇等感染情况。结果根据孕妇生殖道B族链球菌感染影响因素分析结果显示,流产次数与孕妇生殖道B族链球菌感染有关(P0.05),与年龄、产次以及高位孕妇等因素无关(P0.05);感染组孕妇胎膜早破发生率为34.3%,明显高于非感染组的17.9%,总不良妊娠结局发生率为38.6%,明显高于非感染组的20.0%,两组比较差异均具有统计学意义(P0.05);感染组新生儿胎儿窘迫发生率为8.6%,明显高于非感染组的1.8%,新生儿肺炎发生率为5.7%,明显高于非感染组的1.1%,感染组新生儿总不良结局发生率为18.6%,明显高于非感染组的6.1%,两组比较差异均具有统计学意义(P0.05)。结论生殖道B族链球菌感染不利于孕妇母婴预后,需要采取有效的预防措施。
[Abstract]:Objective To observe and compare the maternal and infant outcomes of pregnant women with B streptococcal infection in reproductive tract and B streptococcal infection in the reproductive tract. Methods 350 pregnant women from June 2015 to June 2017 in our hospital were selected as the subjects, and 350 pregnant women were divided into infection group and non infection group by B streptococcal infection in reproductive tract, and two were divided into infection group and non infection group. Women's pregnancy outcome and neonatal outcomes were compared with different ages, times of birth, abortion times and high risk pregnant women. Results according to the analysis of factors affecting B streptococcal infection in pregnant women's reproductive tract, the frequency of abortion was associated with B streptococcus infection (P0.05), age, birth and high pregnancy. The incidence of premature rupture of membranes in the infected group was 34.3%, which was 34.3%, significantly higher than that in the non infected group, and the incidence of the total adverse pregnancy outcome was 38.6%, which was significantly higher than that in the non infected group (20%). The difference of the two groups was statistically significant (P0.05), and the incidence of fetal distress in the infected group was 8.6%, obviously higher than that in the non infection group. 1.8%, the incidence of neonatal pneumonia was 5.7%, obviously higher than 1.1% in the non infection group. The incidence of total adverse outcome was 18.6% in the infection group, which was significantly higher than that in the non infected group. The difference of the two groups was statistically significant (P0.05). Conclusion B streptococcal infection in the reproductive tract was not conducive to the maternal and infant prognosis of pregnant women, and effective prevention measures should be taken. Shi.

【作者单位】：广西河池市第三人民医院儿内科;
【基金】：广西河池市科学研究与技术开发计划项目(河科转1549-18)
【分类号】：R714.2

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