孕期细菌性及非细菌感染与胎膜早破关系分析.docVIP

孕期细菌性及非细菌感染与胎膜早破关系分析 　　【摘要】 目的：探讨孕期细菌性及非细菌感染与胎膜早破的关系。方法：通过对2012年7月-2013年7月在笔者所在医院进行治疗的60例胎膜早破的产妇为试验组，随机选取同期在笔者所在医院进行住院待产60例正常产妇为对照组。对两组产妇的宫颈和阴道分泌物进行宫颈支原体（UU）、细菌性阴道病（BV）、假丝酵母菌（VVC）、衣原体（CT）及羊膜病检测，同时比较两组产妇的妊娠结局及产后感染情况。结果：试验组产妇的UU、BV、VVC及CT生殖道感染的比例较对照组产妇高，差异有统计学意义（P0.05）；试验组产妇的绒毛膜羊膜炎及产妇产后感染率较对照组高，差异有统计学意义（P0.05）；试验组新生儿出现死亡、早产、窒息数较对照组新生儿多，差异有统计学意义（P0.05）。结论：胎膜早破同UU、CT、BV、VVC、羊膜病密切相关，需要对妊娠早、中期产妇进行筛查，采取相应的预防措施，降低胎膜早破的发生，避免给产妇和新生儿造成不良影响。孕期细菌性和非细菌性感染的诊断对胎膜早破具有十分重要的意义，临床值得推广。 　　【关键词】 孕期细菌性感染； 非细菌感染； 胎膜早破； 妊娠结局 　　中图分类号 R714.43 文献标识码 A 文章编号 1674-6805（2014）18-0059-02 　　The Analysis of the Relationship between Pregnancy Bacterial and Non-bacterial Infection and Premature Rupture of Membranes/ZHOU Min，WEN Rui-fen，ZHANG Bi-qiong.//Chinese and Foreign Medical Research，2014，12（18）：59-60 　　【Abstract】 Objective：To investigate the relationship between pregnancy bacterial and non-bacterial infection and premature rupture of membranes.Method：60 cases of maternal PROM from July 2012 to July 2013 in our hospital for treatment were selected as experimental group，60 normal maternal of inpatient expectant mothers were randomly selected at the same period in our hospital as control group.Two groups of maternal cervical and vaginal secretions cervical mycoplasma（UU），bacterial agenesis（BV），candida（VVC），chlamydia（CT） and amniotic membrane disease detection，while maternal pregnancy outcomes and postpartum infection were compared.Result：The proportion of maternal UU，BV，VVC and CT were significantly higher than those in control group（P0.05），the rate of maternal chorioamnionitis and postpartum maternal infection in experimental group were higher than those in the control group（P0.05），the newborns of death，premature birth，neonatal asphyxia were more than those in the control group（P0.05）.Conclusion：The PROM with UU，CT，BV，VVC，closely relates to the amniotic membrane disease，so it needs screening for early pregnancy，maternal mid-screening，to take appropriate preventive measures to reduce the incide