未足月胎膜早破合并下生殖道感染对妊娠结局的影响.docVIP

未足月胎膜早破合并下生殖道感染对妊娠结局的影响 　　[摘要] 目的 探讨未足月胎膜早破（PPROM）合并下生殖道感染对妊娠结局的影响。 方法 选取本院2011年10月～2015年10月收治的93例PPROM孕产妇作为研究对象，根据下生殖道感染情况分为感染组（54例）和未感染组（39例），比较两组的妊娠结局。 结果 沙眼衣原体、解脲支原体、细菌性阴道病、假丝酵母菌是胎膜早破产妇中常见的下生殖道感染病原菌，解脲支原体感染率最高，达59.3%。感染组产妇的宫内感染、产褥感染、产后出血、绒毛膜羊膜炎发生率显著高于未感染组，差异有统计学意义（P0.05）。 结论 下生殖道感染是PPROM的重要危险因素，加强对PPROM患者生殖道病原菌的培养和检测，并尽早给予积极治疗，是改善母婴结局、提高预后的有效手段。 　　[关键词] 未足月胎膜早破；下生殖道感染；母婴结局 　　[中图分类号] R711.3 [文献标识码] A [文章编号] 1674-4721（2016）05（a）-0113-03 　　Influence of lower genital tract infection combined with preterm premature rupture of membrane on pregnancy outcome 　　WU Shi-duan ZOU Xiao-hong YANG Yun QUAN Qi-hua LIANG Yan-mei 　　Department of Obstetrics and Gynecology，People′s Hospital of Gaoyao Dstrict of Zhaoqing City in Guangdong Province，Zhaoqing 526040，China 　　[Abstract] Objective To explore the influence of lower genital tract infection combined with preterm premature rupture of membrane （PPROM） on pregnancy outcome. Methods 93 pregnant women with PPROM in our hospital from October 2011 to October 2015 were selected and divided into the infection group （54 cases） and the non-infection group （39 cases） according to the condition of the lower genital tract infection.Pregnancy outcome of the two groups was compared. Results Chlamydia trachomatis，Ureaplasma，bacterial vaginosi，Candida yeast was common pathogen of lower genital tract infection in premature rupture of fetal membrane，and Ureaplasma urealyticum infection rate was the highest，which was 59.3%.The incidence rate of intrauterine infection，puerperal infection，postpartum hemorrhage，chorioamnionitis of the infection group was higher than that of the non infection group，with significant difference （P0.05）. Conclusion Lower genital tract infection is an important risk factor for PPROM，it is an effective means to improve maternal and neonatal outcomes and to improve the prognosis of this disease that to strengthen the training and detection of PPROM patients with genital tract pathogens，and give early aggressive