摘要
目的：探讨妊娠晚期孕妇阴道不同微生态状况对妊娠结局的影响。方法对2156例孕35周以上的产妇行阴道滴虫菌、衣原体、细菌性阴道病（BV）等检查，评估阴道微生态情况，共筛检出261例阴道微生态异常，其中136例有自觉症状者作为症状组，125例无自觉症状者作为无症状组，选取110例病原体阴性者作为对照组，分析阴道群异常情况及妊娠结局。结果症状组以外阴道假丝酵母菌病感染为主，占43.38％；无症状组以支原体感染为主，占47.2％，差异有统计学意义（ P ＜0.05）。症状组胎膜早破和产褥期感染的概率分别为28.26％、30.15％，明显高于无症状组和对照组，差异有统计学意义（P ＜0.05）；无症状组和对照组比较差异未见统计学意义（P ＞0.05）。症状组新生儿感染、新生儿黄疸概率分别为30.88％、28.68％，明显高于无症状组和对照组，差异有统计学意义（P ＜0.05）；无症状组和对照组比较差异未见统计学意义（P ＞0.05）。结论妊娠晚期阴道微生态与妊娠结局存在密切关系，尤其是有自觉症状者，应积极接受治疗，降低不良妊娠结局的发生率。
Objective To investigate the effect of different micro ecological status of pregnant women in late pregnancy on pregnancy outcomes. Methods Twenty-one hundred and fifty-six pregnant women more than 35 weeks of pregnancy for examinations such as trichomonas vaginalis bacteria, chlamydia and bacterial vaginosis（BV）were selected as the research object,and the vaginal micro eco-logical conditions were assessed. There were 261 cases with vaginal micro ecological abnormalities inclu-ding 136 cases with subjective symptoms as symptom group and 125 without subjective symptoms as asymptomatic group. One hundred and ten cases with negative bacteria were selected as the control group and the abnormalities of vaginal group and the outcomes of pregnancy were analyzed. Results The symptom group were mainly infected by VVC,accounting for 43. 38% . The asymptomatic group were mainly infected by mycoplasma,accounting for 47. 2% ,with significant difference（ P 〈 0. 05）. The probability of premature rupture of membranes and puerperal infection of the symptomatic group were 28. 26% and 30. 15% respectively,which were significantly higher than those of the asymptomatic group and the control group,and the differences were significant（P 〈 0. 05）;there was no significant difference between the asymptomatic group and the control group（P 〉 0. 05）. The probabilities of neonatal infection and neonatal jaundice of the symptom group were 30. 88% and 28. 68% respectively,which were signifi-cantly higher than those of the asymptomatic group and the control group with significant differences（P 〈0. 05）;there was no significant difference between the asymptomatic group and the control group（P 〉0. 05）. Conclusions There is a close correlation between vaginal microecology in late pregnancy and the outcomes of pregnancy. Pregnant women with subjective symptoms should be actively treated to re-duce the incidence of adverse pregnancy outcomes.
出处
《中国实用医刊》
2016年第10期13-15,共3页
Chinese Journal of Practical Medicine
关键词
阴道微生态
妊娠晚期
细菌性阴道病
Vaginal microecology
Late pregnancy
Bacterial vaginosis
