摘要
目的：探讨胎膜早破（Premature ruptave of membrane,PROM）孕妇生殖道感染衣原体（Ct）与支原体（Uu）的情况。方法：筛选出我院2014年1月至2014年6月妇产科的待产妇共计238例，按照胎膜情况分为胎膜早破组（107例）及孕足月正常对照组（131例），取孕妇的的宫颈分泌物为标本进行Uu培养及Ct检测，比较两组的阳性率及妊娠情况。结果：胎膜早破组的四项指标Uu单独阳性率（60.7%）、CT单独阳性率（7.48%），双重阳性4.67%，总阳性率72.9%（76/107）均要高于对照组（20.6%、1.53%、0.76%、22.9%），差异有统计学意义（P〈0.05）；此外，胎膜早破组的早产率（29.9%）、胎儿围生期感染率（19.6%）、产褥感染率（10.3%）及新生儿窒息率（8.4%），均要高于对照组（9.9%、9.16%、2.29%、3.05%），且差异有统计学意义（P〈0.05）。结论：胎膜早破与Uu及CT密切相关，因此加强孕妇围生期的Uu及CT的检查，做到早发现早治疗，对于降低胎膜破裂的风险具有重大意义。
Objective：To explore the influence of premature rupture of membrane in pregnant woman’s gential tract and situation of intrauterine infections of Chlamydia trachomatis （Ct） and ureaplasma urealyticum （Uu）. Methods：238 cases of the parturient puerpera were selected in the department of gynecology and obstetrics from January to June in 2014 in our hospital. Cerneal secrections were extrated for uu and ct deteetion. The positive rate and pregnancy status between two groups were compared.Results：In premature rupture of membrane group, The positive rate of Uu（60.7%）and Ct（7.48%）,positive rates of Uu＋Ct（4.67%）,total positive rate（72.9%）,were higher than the control group（20.6%、1.53%、0.76%、22.9%）,the difference is statistically significant（P〈0. 05）. In addition, in premature rupture of membrane group, the rate of premature birth（29.9%）,fetus perinatalinfection rate（19.6%）,puerperal infection（10.3%） and apnoea neonatorum rate（8.4%） were higher than the control group（9.9%、9.16%、2.29%、3.05%）, There was significant difference between two groups（P〈0.05）. Conclusions：Premature rupture of membrane is closely conelated with Uu and CT.Therefore, enhanceing my check-up of Uu and CT is significant in reducing rupture of membranes in pregnant woman’s perinatal, early diagnosis, early treatment.
出处
《医学检验与临床》
2015年第2期33-34,6,共3页
Medical Laboratory Science and Clinics
关键词
沙眼衣原体
解脲支原体
胎膜早破
Chlamydia trachomatis
Ureaplasma urealyticum
Premature rupture of membranes
