孕晚期B族链球菌筛查对预防新生儿早发型感染的效果被引量：1

The Effect of Screening of Group B Streptococcus in the Third Trimester of Pregnancy on the Prevention of Early-onset Neonatal Infection

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摘要目的探讨孕晚期B族链球菌(GBS)筛查在新生儿早发型感染预防方面的应用价值,为降低新生儿早发型感染提供依据。方法本研究将我院2019年5月—2020年5月接诊的200例妊娠晚期孕妇(孕35~37周)纳入研究,依据接诊顺序分为GBS筛查干预组(GBS筛查并对阳性者治疗干预)与未筛查组(不进行GBS筛查),各组均为100例,分析两组孕妇新生儿GBS败血症发生率及严重程度、早产、胎膜早破等发生情况。结果GBS筛查干预组阳性检出率为15.00%(15/100),GBS筛查干预组新生儿GBS败血症发生率为1.00%,小于未筛查组9.00%,且GBS筛查干预组患者病情较轻,差异有统计学意义(P<0.05);GBS筛查干预组早产、胎膜早破等总体发生率为3.00%,小于未筛查组的11.00%(P<0.05)。结论孕晚期注重B族链球菌筛查与干预,能够较好地预防新生儿早发型感染,减少新生儿早发型感染发生率,对预防早产、胎膜早破等问题均有重要价值。 Objective To explore the value of Group B streptococcus(GBS)screening in the prevention of Neonatal early-onset infection and to provide evidence for reducing the rate of neonatal early-onset infection.Methods From May 2019 to May 2020,this study included 200 cases of late pregnancy(35~37 weeks)in our hospital,the patients were divided into GBS screening intervention group(GBS screening and Treatment Intervention Group)and non-screening Group(GBS non-screening Group),each group was 100 cases,the incidence and severity of Neonatal Septicemia,preterm birth and premature rupture of membranes were analyzed in two groups.Results The positive rate was 15.00%(15/100)in GBS screening intervention group,the incidence of neonatal septicemia in GBS screening intervention group was 1.00%,which was less than 9.00%in the non-screening intervention group,and the condition of patients in GBS screening intervention group was milder,the difference was statistically significant(P<0.05).The overall incidence of preterm birth and premature rupture of membranes in the GBS screening intervention group was 3.00%,which was lower than that in the non-screening group 11.00%(P<0.05).Conclusion Pay attention to group B streptococcus screening and intervention in late pregnancy,can better prevent neonatal early-onset infection,reduce the incidence of neonatal earlyonset infection,to prevent preterm birth,premature rupture of membranes and other issues are of great value.

作者楼霞黄月春李惠芬 LOU Xia;HUANG Yuechun;LI Huifen(Department of Obstetrics,The First People's Hospital of Lin'an District,Hangzhou Zhejiang 311300,China)

机构地区杭州市临安区第一人民医院产科

出处《中国继续医学教育》 2021年第11期141-144,共4页 China Continuing Medical Education

关键词孕晚期 B族链球菌临床筛查新生儿早发型感染预防价值母婴结局 third trimester group B streptococcus clinical screening neonatal early-onset infection preventive value maternal and infant outcome

分类号 R722 [医药卫生—儿科]