摘要
目的探究孕妇妊娠晚期B族链球菌感染对妊娠结局及新生儿的影响。方法方便选取该院2018年1月—2020年1月收治的60例妊娠晚期B族链球菌感染孕妇作为观察组。同期选取B族链球菌未感染妊娠晚期孕妇60例作为对照组。观察比较两组妊娠结局,以及新生儿的健康状况。结果观察组中出现早产(25.00%)、产后出血(13.33%)、胎儿窘迫(41.67%)、羊水污染(18.33%)、宫内感染(21.67%),明显高于对照组,差异有统计学意义(χ^(2)=7.566、4.324、4.596、6.988、6.639,P<0.05)。观察组中出现新生儿窒息(13.33%)、新生儿肺炎(16.67%)、病理性黄疸(25.00%)、感染(20.00%),明显高于对照组,差异有统计学意义(χ^(2)=4.324、5.926、9.412、4.615,P<0.05)。结论孕妇妊娠晚期B族链球菌感染会增加不良妊娠结局的风险,严重威胁新生儿健康,需要加强B族链球菌感染筛查,及早鉴别诊断,采取有效干预措施,改善妊娠结局,保障母婴安全健康。
Objective To explore the influence of group B streptococcal infection in pregnant women in the third trimester of pregnancy on pregnancy outcome and newborns.Methods From January 2018 to January 2020 in the hospital,60 pregnant women with group B streptococcal infection in late pregnancy were conveniently selected as the observation group.At the same time,60 cases of pregnant women who were not infected by group B streptococcus were selected as the control group.Observed and compared the pregnancy outcome of the two groups,as well as the health status of the newborn.Results Premature delivery(25.00%),postpartum hemorrhage(13.33%),fetal distress(41.67%),amniotic fluid contamination(18.33%),and intrauterine infection(21.67%)occurred in the observation group,which were significantly higher than those in the control group,the difference was statistically significant(χ^(2)=7.566,4.324,4.596,6.988,6.639,P<0.05),.Neonatal asphyxia(13.33%),neonatal pneumonia(16.67%),pathological jaundice(25.00%),infection(20.00%)occurred in the observation group,which was significantly higher than that in the control group,the difference was statistically significant(χ^(2)=4.324,5.926,9.412,4.615,P<0.05).Conclusion Group B streptococcal infection in pregnant women in the third trimester of pregnancy will increase the risk of adverse pregnancy outcomes and seriously threaten the health of newborns.It is necessary to strengthen screening for group B streptococcal infection,early differential diagnosis,and effective intervention measures to improve pregnancy outcomes and protect safety and health of mothers and babies.
作者
林春生
LIN Chunsheng(Department of Obstetrics and Gynecology,Quanzhou Hospital of Traditional Chinese Medicine,Quanzhou,Fujian Province,362000 China)
出处
《中外医疗》
2021年第19期46-48,共3页
China & Foreign Medical Treatment
关键词
孕妇
妊娠晚期
B族链球菌感染
妊娠结局
新生儿
Pregnant women
Third trimester
Group B streptococcal infection
Pregnancy outcome
Newborn
