摘要
目的探讨妊娠期B族溶血性链球菌、外阴阴道假丝酵母菌、细菌性阴道病感染对单胎妊娠初产妇母婴结局的影响。方法将106例孕妇设为研究对象,检测B族溶血性链球菌、外阴阴道假丝酵母菌、细菌性阴道病感染情况,比较B族溶血性链球菌、外阴阴道假丝酵母菌、细菌性阴道病感染阳性与阴性者妊娠结局。结果入组孕妇检出B族溶血性链球菌感染23例(21.70%),外阴阴道假丝酵母菌感染19例(18.45%),细菌性阴道病感染17例(16.04%)。B族溶血性链球菌阳性者绒毛膜羊膜炎、产后出血、产褥感染、胎膜早破、新生儿肺炎、新生儿感染、新生儿低体质量发生率显著高于B族溶血性链球菌阴性者(P<0.05或0.01)。外阴阴道假丝酵母菌阳性者绒毛膜羊膜炎、产后出血、胎膜早破、新生儿肺炎、新生儿感染、新生儿低体质量发生率显著高于外阴阴道假丝酵母菌阴性者(P<0.05或0.01)。细菌性阴道病阳性者早产、产褥感染、胎膜早破、新生儿感染、新生儿低体质量发生率显著高于细菌性阴道病阴性者(P<0.05或0.01)。结论妊娠期B族溶血性链球菌、外阴阴道假丝酵母菌、细菌性阴道病感染会增加单胎妊娠初产妇不良妊娠结局风险,应加强生殖道感染危害宣教,重视围产期保健。
Objective To explore the influences of group B streptococcus(GBS),vulvovaginal candidosis(VVC)and bacterial vaginosis(BV)infection during pregnancy on pregnancy outcomes of singleton pregnancy primiparae.Methods A total of 106 pregnant women were set as research subjects,their GBS,VVC and BV infections detected,pregnancy outcomes compared between positive patients of GBS,VVC and BV infections and negative ones.Results Of enrolled pregnant women patients with GBS infection were 23(21.70%),VVC 19(18.45%),and BV 17(16.04%).The incidence rates of chorioamnionitis,postpartum hemorrhage,puerperal infection,premature rupture of membranes,neonatal pneumonia,neonatal infection,and low neonatal body mass were significantly higher in GBS-positive pregnant women than in GBS-negative ones(P<0.05 or 0.01).The incidence rates of chorioamnionitis,postpartum hemorrhage,neonatal pneumonia,neonatal infection,and low neonatal body mass were significantly higher in VVC-positive pregnant women than in VVC-negative ones(P<0.05 or 0.01).The incidence rates of premature delivery,puerperal infection,premature rupture of membranes,neonatal infection and low neonatal body mass were significantly higher in BV-positive pregnant women than in BV-negative ones(P<0.05 or 0.01).Conclusion GBS,VVC and BV infection during pregnancy could increase the risks of adverse pregnancy outcomes,peopaganda and education of repeoductive tract infections should be strengthened,and attention should be paid to perinatal health care.
作者
张光辉
徐继敏
Zhang Guanghui;Xu Jimin(Xinmi Maternal and Child Health Hospital,Zhengzhou 452370,Henan,China)
出处
《临床心身疾病杂志》
CAS
2023年第2期36-40,共5页
Journal of Clinical Psychosomatic Diseases
