妊娠晚期孕妇支原体属感染对围产结局的影响

发布时间：2019-04-30 14:04

【摘要】：目的探讨妊娠晚期孕妇支原体属感染及对围产结局的影响,为临床治疗提供参考依据。方法选取2011年1月-2014年1月进行产前检查的妊娠晚期孕妇1 300例,对宫颈拭子标本进行支原体属检测,根据检测结果分为阳性组316例和阴性组984例,追踪观察并分析两组妊娠晚期孕妇的围产结局以及围产期母婴并发症的发生率。结果 1 300例妊娠晚期孕妇有316例支原体属阳性,阳性检出率为24.3%;阳性组孕妇切口感染率高于阴性组,但差异无统计学意义;孕妇支原体阳性组围产儿并发症:小于胎龄儿、低体重儿、新生儿肺炎以及新生儿黄疸的发生率均显著高于阴性组(P0.01),阳性组新生儿畸形的发生率较阴性组高,但差异无统计学意义。结论妊娠晚期支原体属感染可引起多种孕产妇及围产儿并发症,产前检查应注意严格筛查支原体属并给予及时有效治疗,以降低不良围产结局。
[Abstract]:Objective to investigate the infection of mycoplasma in late pregnancy and its effect on perinatal outcome, so as to provide reference for clinical treatment. Methods from January 2011 to January 2014, 1 300 pregnant women in the third trimester of pregnancy were examined for mycoplasma in cervical swabs. According to the results, they were divided into two groups: positive group (316 cases) and negative group (984 cases). The perinatal outcome and the incidence of maternal and infant complications in the second trimester of pregnancy were observed and analyzed. Results 316 of the 1 300 pregnant women in the third trimester of pregnancy were positive for mycoplasma, the positive rate was 24.3%, the infection rate of incision in the positive group was higher than that in the negative group, but there was no significant difference. The incidence of perinatal complications in the mycoplasma positive group was significantly higher than that in the negative group (P0.01), and the incidence of neonatal malformation in the positive group was higher than that in the negative group (P < 0.01), but the incidence of perinatal complications in the positive group was significantly higher than that in the negative group (P < 0.01). But the difference was not statistically significant. Conclusion Mycoplasma infection in the third trimester of pregnancy can cause complications in many pregnant women and perinatal infants. Attention should be paid to the screening of mycoplasma in prenatal examination and timely and effective treatment in order to reduce the adverse perinatal outcome.
【作者单位】：聊城市东昌府区妇幼保健院妇产科;
【基金】：山东省自然科学基金资助项目(ZR2012HM029)
【分类号】：R714.259

【参考文献】