妊娠期生殖道感染对初产妇妊娠结局的影响.docVIP

妊娠期生殖道感染对初产妇妊娠结局的影响 　　蒋丹萍1 杜晓东2 　　1.浙江省温岭市第四人民医院妇产科，浙江温岭 317511；2.浙江省丽水市妇幼保健院妇产科，浙江丽水 323000 　　[摘要] 目的 探究并分析妊娠期生殖道感染对初产妇的妊娠结局的影响。 方法 选取2011年8月～2012年8月在浙江省温岭市第四人民医院妇产科定期产检并分娩的328名初产妇为研究对象，按照有无妊娠期生殖道感染分为对照组（n = 201）和观察组（n = 127），观察两组产妇的妊娠结局并作分析对比。 结果 观察组与对照组产妇的妊娠结局比较，胎膜早破率（15.75%比9.45%）、早产率（12.60%比5.47%）、低出生体重发生率（7.09%比2.49%）、新生儿畸形率（3.94%比0.50%）、死胎发生率（13.39%比5.97%）、新生儿窒息率（9.45%比3.48%）均较高，差异均有统计学意义（均P 0.05）。 结论 妊娠期生殖道感染影响初产妇妊娠结局，在临床工作中，需要引起重视，对妊娠期产妇生殖道感染进行筛查检测、及时治疗和护理是非常必要的。 　　[关键词] 妊娠期生殖道感染；初产妇；妊娠结局 　　[中图分类号] R714.7 [文献标识码] A [文章编号] 1673-7210（2014）03（c）-0048-04 　　The influence of the reproductive tract infection on the pregnancy outcomes of primipara during pregnancy 　　JIANG Danping1 DU Xiaodong2 　　1.Department of Obstetrics and Gynecology， the Fourth Peoples Hospital of Wenling City， Zhejiang Province， Wenling 317511， China； 2.Department of Obstetrics and Gynecology， Maternal and Child Health-Care Center of Lishui City， Zhejiang Province， Lishui 323000， China 　　[Abstract] Objective To explore and analyze the influence of the reproductive tract infection on the pregnancy outcomes of primipara during pregnancy. Methods 328 primipara who accepted regular production inspection and then deliveried from August 2011 to August 2012 in the Obstetrics and Gynecology Department of the Fourth Peoples Hospital of Wenling City in Zhejiang Province. Then they were divided into the control group （n=201） and the observation group （n=127） according to the presence of reproductive tract infection during pregnancy. The pregnancy outcomes of the two groups were compared. Results Compared with the control group， the premature rupture of membranes rate （15.75% vs 9.45%）， the incidence rate of premature birth （12.60% vs 5.47%）， low birth weight and cesarean section rate （7.09% vs 2.49%）， the rate of birth defects （3.94% vs 0.05%）， the incidence of stillbirth （13.39% vs 5.97%）， the rate of neonatal asphyxia （9.45% vs 3.48%） in the observation group were higher， the differences