摘要
目的 探讨未足月胎膜早破（PPROM）合并下生殖道感染对妊娠结局的影响。方法 选取本院2011年10月-2015年10月收治的93例PPROM孕产妇作为研究对象,根据下生殖道感染情况分为感染组（54例）和未感染组（39例）,比较两组的妊娠结局。结果 沙眼衣原体、解脲支原体、细菌性阴道病、假丝酵母菌是胎膜早破产妇中常见的下生殖道感染病原菌,解脲支原体感染率最高,达59.3%。感染组产妇的宫内感染、产褥感染、产后出血、绒毛膜羊膜炎发生率显著高于未感染组,差异有统计学意义（P〈0.05）。感染组新生儿的窒息、肺炎、宫内窘迫及NRDS发生率显著高于未感染组,差异有统计学意义（P〈0.05）。两组新生儿的死亡率比较,差异无统计学意义（P〉0.05）。结论 下生殖道感染是PPROM的重要危险因素,加强对PPROM患者生殖道病原菌的培养和检测,并尽早给予积极治疗,是改善母婴结局、提高预后的有效手段。
Objective To explore the influence of lower genital tract infection combined with preterm premature rupture of membrane （PPROM） on pregnancy outcome. Methods 93 pregnant women with PPROM in our hospital from October 2011 to October 2015 were selected and divided into the infection group （54 cases） and the non-infection group （39 cases） according to the condition of the lower genital tract infection.Pregnancy outcome of the two groups was compared. Results Chlamydia trachomatis,Ureaplasma, bacterial vaginosi,Candida yeast was common pathogen of lower genital tract infection in premature rupture of fetal membrane,and Ureaplasma urealyticum infection rate was the highest,which was 59.3%.The incidence rate of intrauterine infection,puerperal infection,postpartum hemorrhage,chorioamnionitis of the infection group was higher than that of the non infection group,with significant difference （P〈0.05）.The incidence rate of neonatal asphyxia,pneumonia,fetal distress and NRDS in the infection group was higher than that in the non infection group,with significant difference （P〈0.05）.There was no significant difference in death rate of newborns between the two groups （P〉0.05）. Conclusion Lower genital tract infection is an important risk factor for PPROM,it is an effective means to improve maternal and neonatal outcomes and to training and detection of PPROM patients with genital tract improve the prognosis of this disease that to strengthen the pathogens,and give early aggressive treatment
出处
《中国当代医药》
2016年第13期113-115,共3页
China Modern Medicine
关键词
未足月胎膜早破
下生殖道感染
母婴结局
Preterm premature rupture of the membrane
Lower genital tract infection
Maternal and infant outcome
