摘要
目的探讨阴道分泌物对胎膜早破母婴结局的影响。方法将450例胎膜早破(PROM)患者分为阴道分泌物正常组和异常组,分析比较阴道分泌物结果对母婴结局的影响。结果 PROM阴道分泌物检查异常率达65.78%(296/450)。PROM阴道分泌物异常组期待治疗时间短,胎儿窘迫、新生儿窒息、围产儿死亡、绒毛膜羊膜炎、剖宫产率均较阴道分泌物正常组升高,两组间差异有显著性(P<0.05)。而经过积极抗感染治疗后,两组新生儿感染率和产褥病率比较无显著性差异(P>0.05)。结论 PROM与生殖道上行感染密切相关。孕前及孕期作阴道分泌物检查、治疗阴道炎症可降低胎膜早破的发生率,减少孕产妇和围生儿并发症。
Objective To investigate the influence of the vaginal secretions on PROM and the maternal-infant outcome.Methods 450 patients with PROM were divided into normal vaginal secretion group and abnormal vaginal secretion group.The maternal-infant outcomes were analyzed and compared between two groups.Results The abnormal rate of vaginal secretions on PROM was about 65.78%（296/450）.Compared with normal vaginal secretions group,the expectation therapy time was shortened and the incidence rates of fetaldistress,asphyxia neonatorum,neonate death,chorioamnionitis,caesarean section were increased obviously（P〈0.05）.With effective anti-infection therapy,the newborn and mother infection incidences had no signifficant difference between two groups.Conclusion There is a close correlation between PROM and reproductive tract infection.Vaginitis should be detectde and cured before and among pregnancy,so as to prevent PROM,at the same time,reduce the complications of maternity and fetus.
出处
《中国实验诊断学》
北大核心
2011年第11期1876-1878,共3页
Chinese Journal of Laboratory Diagnosis
关键词
胎膜早破
阴道分泌物
感染
母婴结局
Premature rupture of the membrane
Vaginal secretions
Infection
Maternal-infant outcome
