妊娠期高血压孕妇宫颈感染对妊娠结局及术后感染的影响

发布时间：2018-05-27 21:48

本文选题：妊娠期高血压孕妇 + 宫颈感染　；参考：《中华医院感染学杂志》2017年12期

【摘要】：目的探讨不同程度宫颈感染对妊娠期高血压孕妇的妊娠结局与术后感染的影响。方法收集2015年1月-2016年8月收治的伴宫颈感染80例妊娠期高血压孕妇为观察组,根据感染程度将其中40例轻中度孕妇为观察A组,40例重度孕妇为观察B组;同时取本科室同期接收40例单纯妊娠期高血压孕妇为对照组,40例健康正常妊娠孕妇作为健康组,观察并比较4组孕妇的妊娠结局与术后感染情况。结果观察B组孕妇胎儿宫内窘迫率、新生儿窒息率及围产儿病死率均为22.5%,均显著高于观察A组及对照组相应指标,差异有统计学意义(P0.05);观察组孕妇胎儿宫内窘迫率、新生儿窒息率及围产儿病死率均显著高于对照组及健康组相应指标,差异有统计学意义(P0.05);对照组孕妇剖宫产率50.0%,显著高于健康组20.0%,差异有统计学意义(P0.05);两组胎儿宫内窘迫率、新生儿窒息率及围产儿病死率比较,无显著差异,观察组、对照组、健康组术后感染率依次为25.0%、12.5%、0,观察组术后感染率较对照组与健康组显著更高,差异有统计学意义(P0.05);观察B组产妇并发症发生率15.0%,显著高于对照组2.5%,差异有统计学意义(P0.05)。结论妊娠期高血压孕妇伴有宫颈感染程度与其不良妊娠结局发生风险有着密切的联系,且伴宫颈感染的产妇术后感染率更高。
[Abstract]:Objective to investigate the effect of cervical infection on pregnancy outcome and postoperative infection in hypertensive pregnant women. Methods from January 2015 to August 2016, 80 pregnant women with cervical infection were selected as observation group. 40 cases of mild to moderate pregnant women were selected as observation group A and 40 cases of severe pregnant women as observation group B according to the degree of infection. At the same time, 40 pregnant women with hypertension complicating pregnancy were selected as the control group and 40 normal pregnant women as the healthy group. The pregnancy outcome and postoperative infection were observed and compared among the 4 groups. Results the fetal distress rate, neonatal asphyxia rate and perinatal mortality in group B were 22.5, which were significantly higher than those in group A and control group (P 0.05). The neonatal asphyxia rate and perinatal mortality were significantly higher than those of the control group and the healthy group, the difference was statistically significant (P 0.05), the cesarean section rate of the control group was significantly higher than that of the healthy group (20.0%, P 0.05), the fetal distress rate of the two groups was significantly higher than that of the control group (P 0.05), the rate of cesarean section in the control group was significantly higher than that in the healthy group (P 0.05). There was no significant difference in neonatal asphyxia rate and perinatal mortality. The postoperative infection rate in observation group, control group and healthy group was 25.0 and 12.5% respectively. The postoperative infection rate in observation group was significantly higher than that in control group and healthy group. The incidence of maternal complications in group B was 15.0, which was significantly higher than that in the control group (2.5%), and the difference was statistically significant (P 0.05). Conclusion the degree of cervical infection in hypertensive pregnant women with pregnancy is closely related to the risk of adverse pregnancy outcome, and the infection rate of pregnant women with cervical infection is higher.
【作者单位】：郑州大学附属南阳医院南阳市中心医院妇产科;
【分类号】：R714.2

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