摘要
目的观察对比发生生殖道B族链球菌感染与未发生生殖道B族链球菌感染孕妇的母婴结局。方法以2015年6月—2017年6月来我院常规孕检的孕妇350例作为研究对象,通过生殖道B族链球菌感染检查将350例孕妇分为感染组和非感染组,对比两组产妇的妊娠结局和新生儿结局,对比不同年龄、产次、流产次数以及是否属于高危孕妇等感染情况。结果根据孕妇生殖道B族链球菌感染影响因素分析结果显示,流产次数与孕妇生殖道B族链球菌感染有关(P<0.05),与年龄、产次以及高位孕妇等因素无关(P>0.05);感染组孕妇胎膜早破发生率为34.3%,明显高于非感染组的17.9%,总不良妊娠结局发生率为38.6%,明显高于非感染组的20.0%,两组比较差异均具有统计学意义(P<0.05);感染组新生儿胎儿窘迫发生率为8.6%,明显高于非感染组的1.8%,新生儿肺炎发生率为5.7%,明显高于非感染组的1.1%,感染组新生儿总不良结局发生率为18.6%,明显高于非感染组的6.1%,两组比较差异均具有统计学意义(P<0.05)。结论生殖道B族链球菌感染不利于孕妇母婴预后,需要采取有效的预防措施。
Objective To observe the maternal and fetal outcomes of pregnant women with group B Streptococcus infection and without group B Streptococcus infection. Methods 350 cases of pregnant women who were admitted to our hospital from June 2015 to June 2017 were selected as the subjects. 350 cases of pregnant women were divided into infected group and non-infected group by group B Streptococcus infection test, The pregnancy outcomes and neonatal outcomes were compared between the two groups, and the infection rates were compared between different age, delivery times, number of abortions, and whether they belonged to high-risk pregnant women. Results According to the influencing factors of group B streptococcal infection in pregnant women, it was found that the frequency of abortion was associated with group B streptococcal infection in pregnant women （P 〈 0.05）, which was not related to age, birth rate and high birth rate （P 〉 0.05 ）. The incidence of premature rupture of membranes in the pregnant women in the infection group was 34.3%, which was significantly higher than that in the non infection group （17.9%）; The total incidence of adverse pregnancy outcomes was 38.6%, which was significantly higher than that in non infection group （20.0%）, the differences between the two groups were statistically significant （P 〈 0.05）. The incidence of fetal distress in the infection group was 8.6%, which was significantly higher than that in the non infection group （1.8%）; The incidence of neonatal pneumonia was 5.7%, which was significantly higher than that of non infection group （1.1%）, the incidence of total adverse outcomes in the infection group was 18.6%, which was significantly higher than that in the non infection group （6.1%）, and the difference between the two groups was statistically significant （P 〈 0.05）. Conclusion Group B streptococcal infection in reproductive tract is not conducive to maternal and child prognosis, and effective preventive measures should be taken.
出处
《中国卫生标准管理》
2017年第27期19-21,共3页
China Health Standard Management
基金
广西河池市科学研究与技术开发计划项目(河科转1549-18)
关键词
生殖道感染
B族链球菌
母婴预后
临床研究
genital tract infection
group B streptococcus
maternal and child prognosis
clinical study
