【摘要】 应用套式聚合酶链反应技术对４１０ 例晚期妊娠妇女的宫颈分泌物及８６ 例羊水与新生儿咽部分泌物进行生殖支原体（ Ｍｇ 检测），观察并分析Ｍｇ 的母婴传播情况及对母婴的影响。结果：宫颈Ｍｇ 阳性率为７－８０ ％ ，与孕妇的年龄、文化程度及胎产次无关（Ｐ＞ ０－０５）。宫颈Ｍｇ 阳性组羊水及新生儿检出率分别为１２－５０％ 与１８－７５ ％ ，明显高于对照组（Ｐ＜ ０－０５ ；０－０１）。两组胎膜早破、早产及低体重儿发生率的比较差异有显著性（Ｐ＜ ０－０１ ，０－０５；０－０５） ，而ＩＵＧＲ、新生儿窒息、新生儿畸形、新生儿肺炎、产后出血及产褥热的发生率比较无差异（Ｐ＜ ０－０５） 。提示：晚期妊娠妇女下生殖道Ｍｇ 感染可以垂直传播并与胎膜早破、早产及低体重儿的发生有关。更多还原

【Abstract】 Objective:To study the effects ofthe maternal mycoplasma genitalium( Mg) infection on puerperants and neonates.Design:410 pregnant women between 32 - 41 weeks gestation werein vestigated in the prospetive clinical study.Using nested poly merasechain reaction (PCR),Mg DNAwas detectedin the cer vicalsecretionfrom 410 cases andin both the amnioticfluid and the neonates secretion from 86 out of 410 cases. The ways of maternal- fetaltransmission were analysed and pregnancy out come were observed. Results:The positiverate of Mg by nested PCRin cervicalsecretion was7 .80 % .Pregnant women with pos itive Mg had higherpositiveratesof Mgin boththeamnioticflu id and neonatesecretionthan those with negative Mg.Premature rupture of membranes,premature delivery and low birth weightin positive cases were significantly higher than that negative.Conclusion: Maternal Mg infection in lower genital tract was transmitted of their fetus and was significantly associated with premature rupture of membranes,premature delivery and lowbirth weight.更多还原