下生殖道感染对胎膜早破及母婴结局影响临床分析.docVIP

下生殖道感染对胎膜早破及母婴结局影响的临床分析 　　[摘要] 目的 探讨下生殖道感染对胎膜早破及母婴结局的影响。 方法 选择胎膜早破孕妇413例为研究组。根据是否足月分为足月亚组和未足月亚组。同时选择无胎膜早破孕妇420例为对照组。对所有纳入研究的的对象宫颈分泌物检测衣原体、支原体，阴道分泌物检测假似酵母菌、细菌检测、滴虫，并取胎膜进行病理学检查，分析下生殖道感染对胎膜早破及母婴结局的影响。 结果 胎膜早破组发生支原体感染、衣原体感染、细菌性阴道病、假丝酵母菌、滴虫感染率显著高于未胎膜早破组（P0.01或P0.05）。胎膜早破孕妇，未足月亚组支原体、衣原体、细菌性阴道病、假丝酵母菌、滴虫感染率显著高于足月亚组（P0.01或P0.05）。下生殖道感染孕妇早产、产褥感染、绒毛膜羊膜炎、新生热肺炎发生率显著高于未感染孕妇（P0.01）；胎膜早破组早产、产褥感染、绒毛膜羊膜炎、新生热肺炎发生率显著高于未胎膜早破组（P0.01）。 结论 下生殖道感染增加胎膜早破几率，也是导致母婴不良结局重要因素。 　　[关键词] 下生殖道感染；胎膜早破；母婴结局 　　[中图分类号] R711.3 [文献标识码] B [文章编号] 1673-9701（2015）22-0047-04 　　Clinical analysis of lower genital tract infection on premature rupture of membranes and maternal and child outcomes 　　DAI Chanjuan1 HUA Ying2 　　1.Obstetrics and Gynecology Department，the Peoples Hospital of Sanmen County in Zhejiang Province，Sanmen 317100，China；2.Obstetrics and Gynecology Department，the Second Affiliated Hospital of Wenzhou Medical College，Wenzhou 325000，China 　　[Abstract] Objective To study effect of lower genital tract infection on premature rupture of membranes and maternal and child outcomes. Methods Selected 413 cases with lower genital tract infection on premature rupture of membranes and maternal and child outcomes were divided into term subgroup and preterm subgroup. Selected 420 cases without premature rupture of membranes as control group. Cervical secretions were collected to detect Chlamydia and Mycoplasma， and vaginal secretions were collected to detect candida yeast， bacteria and trichomoniasis. Membranes were collected for pathological examination. Effect of lower genital tract infection on premature rupture of membranes and maternal and child outcomes was analyzed. Results Mycoplasma infection， chlamydia infection， bacterial vaginosis， candida， trichomonas infection rates of premature rupture of membranes group were higher than control group（P 　　[Key words] Lower genital tract infection； Premature rupture of membranes； Maternal and child outcomes 　　胎膜早破是指发生在临产前的自然破裂，约占3%～16%，是早产、新生儿感染、绒毛膜羊膜炎、新生儿