晚期妊娠胎膜早破患者阴道微生态分析

发布时间：2018-05-29 20:27

本文选题：胎膜早破 + 阴道　；参考：《山东医药》2015年26期

【摘要】：目的分析晚期妊娠胎膜早破(PROM)患者的阴道微生态状况,探讨阴道微生态变化在PROM发生中的作用。方法回顾性分析53例发生PROM的患者的产检资料,选取同期住院、未出现PROM的健康待产孕妇50例作为对照组,分析两组产前36周阴道分泌物检测结果,分析阴道微生态状况,比较两组阴道分泌物成分、阴道病原菌类型。结果 PROM组、对照组微生态失调的发生率分别为77.4%、16.0%,PROM组高于对照组(P0.01)。PROM组p H4.5、过氧化氢酶、白细胞酯酶、唾液酸苷酶、β-葡萄糖醛酸酶、乙酰氨基葡萄糖苷酶阳性比例均高于对照组(P0.05),阴道支原体、衣原体感染率均高于对照组(P0.05)。结论发生PROM的晚期妊娠孕妇阴道微生态失调的发生率高,阴道分泌物成分异常,阴道支原体、衣原体感染率高,可能与PROM的发生有关。
[Abstract]:Objective to analyze the vaginal microecology of patients with advanced pregnancy premature rupture of membrane (PROM) and to explore the role of vaginal Microecology in the occurrence of PROM. Methods a retrospective analysis of the data of 53 cases of PROM was reviewed, and 50 cases of pregnant women without PROM in the same period were selected as the control group, and the vaginal secretions in the two groups were analyzed for 36 weeks. Test results, analysis of vaginal microecology, comparison of two groups of vaginal secretions and vaginal pathogens. Results PROM group, the incidence of microecological maladjustment in the control group was 77.4%, 16%, respectively, group PROM was higher than the control group (P0.01).PROM group P H4.5, catalase, leukoesterase, sialidase, beta glucuronidase, acetaminophen The positive ratio of glucosidase was higher than that of the control group (P0.05), and the infection rate of Chlamydia vaginal mycoplasma and chlamydia was higher than that of the control group (P0.05). Conclusion the incidence of vaginal microecoecoecology in the late pregnant women with PROM was high, the vaginal secretions were abnormal, the vaginal Mycoplasma and Chlamydia infection rate were high, which may be related to the occurrence of PROM.
【作者单位】：延安市妇幼保健院;
【分类号】：R714.433

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