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生殖道感染对早期及中期妊娠结局的临床研究

Impact of reproductive tract infection on early and mid pregnancy outcome

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【作者】 李丙彩窦欣欣王若春

【Author】 LI Bingcai;DOU Xinxin;WANG Ruochun;Maternity Ward,Linqu County People’s Hospital;Department of Obstetrics and Gynecology,Weifang Yidu Central Hospital;Department of Obstetrics and Gynecology,Qingzhou Maternal and Child Health Care;

【机构】 临朐县人民医院产房潍坊市益都中心医院妇产科青州市妇幼保健院妇产科

【摘要】 目的:探究与分析生殖道感染对早期、中期妊娠结局的影响。方法:对2012年5月至2014年5月在我院行产前保健并决定分娩的2240例产妇做初产检时行To RCH、白带常规、衣原体、支原体及阴道分泌物细菌培养及药物敏感试验检查,分为感染组860例及非感染组1380例。按照治疗情况将感染组分为感染治疗组590例与感染非治疗组270例,对比三组产妇的不良妊娠结局的发生情况。结果:感染治疗组与感染非治疗组不良妊娠结局率均高于非感染组(χ2=4.34,P<0.05;χ2=5.28,P<0.05),感染非治疗组不良妊娠结局率高于感染治疗组(χ2=4.03,P<0.05)。单一感染非治疗组不良妊娠结局率明显高于感染非治疗组(χ2=4.65,P<0.05)。多种感染非治疗组不良妊娠结局率明显高于感染非治疗组(χ2=4.74,P<0.05)。结论:早期及中期孕妇发生病原微生物感染可明显增加不良妊娠结局的发生率,要求指导妊娠妇女定期来院行常规生殖道感染方面的检查,以制定有效的治疗对策,值得推广。

【Abstract】 Objectives: To probe into and analyze the impact of reproductive tract infection on early and mid pregnancy outcome. Methods: 2240 puerpera underwent prenatal care in our hospital between May 2012 and May 2014 received the tests of To RCH,leucorrhea normal,chlamydia,mycoplasma and vaginal bacterial culture and drug sensitive test,and divided into infection group(860 cases) and the non- infection group(1380 cases).The infection group was further divided into treatment group(590 cases) and non- treatment group( 270 cases)based on the treatment they received. The adverse pregnancy outcome of the three groups was compared. Results:The rates of adverse pregnancy outcomes in both treatment group and non- treatment group were higher than that of non- infection group( χ2= 4. 34,P < 0. 05; χ2= 5. 28,P < 0. 05); and the rate of adverse pregnancy outcome in non- treatment group was higher than that of the treatment group( χ2= 4. 03,P < 0. 05). Conclusions: The pathogenic microorganism infection can obviously increase the incidence of adverse pregnancy outcomes of early and mid pregnant women. Puerpera are required to receive routine examination of reproductive tract infection regularly in the hospital,in order to make effective treatment measures.

  • 【文献出处】 中国性科学 ,Chinese Journal of Human Sexuality , 编辑部邮箱 ,2015年07期
  • 【分类号】R714.2
  • 【被引频次】6
  • 【下载频次】72
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