生殖道感染与胎膜早破关系及对妊娠结局影响.docVIP

生殖道感染与胎膜早破关系及对妊娠结局影响 　　[摘要]目的 探讨生殖道感染和胎膜早破的关系及其对妊娠结局的影响 方法 选择2015年5月～2016年11月在我院分娩的100例胎膜早破孕妇作为研究组，并选择100例胎膜未早破的孕妇作为对照组。对所有研究者的宫颈分泌物及阴道分泌物进行检测。观察两组孕妇衣原体、支原体、真菌、细菌性阴道病及滴虫的感染情况；比较两组不同感染类型孕妇的妊娠结局。结果 研究组孕妇的真菌、滴虫、支原体、细菌性阴道病和衣原体的感染率均明显高于对照组，差异均有统计学意义（P0.05）。研究组孕妇早?a率、新生儿肺炎、绒毛膜羊膜炎、产褥感染的发生率明显高于对照组，差异有统计学意义（P0.05）。此外，支原体阳性孕妇的早产、新生儿肺炎及绒毛膜羊膜炎的发生率明显高于支原体阴性孕妇；衣原体阳性孕妇的早产、新生儿肺炎、绒毛膜羊膜炎、产褥感染及新生儿窒息的发生率明显高于阴性孕妇；真菌阳性孕妇的早产、新生儿肺炎、绒毛膜羊膜炎及产褥感染的发生率明显高于阴性孕妇；细菌性阴道病阳性的孕妇的早产、产褥感染、新生儿肺炎及绒毛膜羊膜炎的发生率明显高于阴性孕妇；滴虫阳性的孕妇的新生儿肺炎、产褥感染、早产及绒毛膜羊膜炎的发生率明显高于滴虫阴性孕妇，差异均有统计学意义（P0.05）。结论 生殖道感染会诱发胎膜早破，增加胎膜早破的发生概率，且会对妊娠结局带来不良影响。 　　[关键词]胎膜早破；生殖道感染；妊娠结局 　　[中图分类号] R714.4 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0102-04 　　The relationship between reproductive tract infection and premature rupture of membranes and its effect on pregnancy outcome 　　FENG Ying 　　Department of Obstetrics and Gynecology，Maternal and Child Health Family Planning Services of Xinxing County，Guangdong Province，Xinxing 527400，China 　　[Abstract]Objective To investigate the relationship between reproductive tract infection and premature rupture of membranes and its impact on pregnancy outcome.Methods 100 cases of premature rupture of membranes were selected as the study group from May 2015 to November 2016 in our hospital.100 cases of premature rupture of membranes were selected as the control group.The cervical secretions and vaginal secretions were examined for two groups.The pregnancy outcomes of the two groups，chlamydia，mycoplasma，fungal，bacterial vaginosis and trichomoniasis were observed；the pregnancy outcomes of pregnant women of the two groups were compared；the pregnancy outcomes of different types of pregnant women were compared.Results The infection rate of mold，Trichomoniasis，Mycoplasma，bacterial vaginosis and Chlamydia in the study group was significantly higher than that in the control group，the difference was statistically significant （P 　　[Key words]Reproductive tract infections；Pregnancy outcome；Premature rupture of membranes