摘要
目的探讨孕28周后妊娠合并细菌性阴道病的发病情况及其对妊娠结局的影响,为临床治疗提供参考依据。方法收集2014-2015年医院孕28周后孕妇1 000例的临床资料,选择妊娠合并细菌性阴道病孕妇145例作为细菌性阴道病组,选择同期正常健康孕妇145例作为对照组;收集所有孕妇的阴道分泌物检查结果、妊娠结局等资料。结果 1 000例孕28周后孕妇中,细菌性阴道病、滴虫性阴道炎、霉菌性阴道炎的发生率分别为14.5%、0.7%、7.2%;孕28~33+6周、孕34~39+6周和孕40~42周妊娠合并细菌性阴道病的发生率比较差异有统计学意义(P<0.05),孕34~39+6周妊娠合并细菌性阴道病的发生率最高,为18.8%;细菌性阴道病组治疗患者胎膜早破、新生儿高胆红素血症的发生率低于未治疗患者(P<0.05),分娩孕周和新生儿体重高于未治疗患者(P<0.05)。结论孕晚期孕妇妊娠合并细菌性阴道病的发病率比较高,对妊娠结局带来不良影响,对妊娠合并细菌性阴道病进行正规治疗可以有效改善妊娠结局。
OBJECTIVE To investigate the incidence of bacterial vaginosis in pregnant women after 28weeks＇ pregnancy and its influence on pregnancy outcomes,so as to provide references for clinical treatment.METHODS The clinical data of 1000 cases pregnant women after 28 weeks from Jan.2014 to Dec.2015 were collected,among which 145 cases of pregnant women with bacterial vaginosis were selected as bacterial vaginosis group,and 145 healthy pregnant women in the same period were selected as control group.Vaginal secretion test results,pregnancy outcomes and other information of all pregnant women were collected.RESULTS The incidences of bacterial vaginosis,trichomonas vaginitis and mycotic vaginitis were 14.5%,0.7% and 7.2%in the pregnant women after 28 weeks＇ gestation.There were significant differences in the incidence of bacterial vaginosis among pregnant women at 28～33＋6weeks,34～39 ＋6weeks and 40～42weeks（P〈0.05）.The incidence of bacterial vaginosis at 34～39 ＋6weeks was the highest（18.8%）.The incidences of premature rupture of membranes and neonatal hyperbilirubinemia in treatment group were lower than that of untreated group of bacterial vaginosis group（P〈0.05）.The gestational weeks and newborn weight of bacterial vaginosis treatment group were higher than those of untreated group（P〈0.05）.CONCLUSIONThe incidence of pregnancy with bacterial vaginosis of pregnant women in third trimester is relatively high,and it has adverse effects on pregnancy outcome.Regular treatment of pregnancy with bacterial vaginosis can improve pregnancy outcomes.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第14期3277-3280,共4页
Chinese Journal of Nosocomiology
基金
浙江省医药卫生基金资助项目(2014KYB241)
关键词
妊娠
细菌性阴道病
妊娠结局
Pregnancy
Bacterial vaginosis
Pregnancy outcome
