摘要
目的:探讨阴道链球菌感染孕妇产前干预治疗与产后新生儿单独治疗对新生儿感染发生率影响。方法:回顾性分析2020年1月至2023年12月在南丰县人民医院就诊的70例阴道链球菌感染孕妇临床资料进行研究。按照治疗时机前后分组,将进行产前干预治疗的孕妇分为产前组(n=35),将进行产后新生儿单独治疗的孕妇分为产后组(n=35)。比较两组的新生儿感染发生率、新生儿出生质量以及孕妇不良反应率。结果:两组新生儿感染率无统计学差异,两组新生儿出生1min、5min的Apgar评分比较差异无统计学意义;产后组孕妇不良反应率低于产前组(P<0.05)。结论:阴道链球菌感染孕妇产前干预治疗与产后新生儿单独治疗效果接近,新生儿单独治疗可弥补产前干预治疗局限性,避免孕妇不良反应,临床应根据实际情况选择合适的治疗方法。
Objective:To explore the effects of prenatal intervention treatment and postpartum neonatal single treatment on the incidence of neonatal infection in pregnant women with vaginal streptococcus infection.Methods:A retrospective analysis was performed on the clinical data of 70 pregnant women with vaginal streptococcus infection in our hospital between January 2020 and December 2023.According to different treatment timing,pregnant women were divided into prenatal group(n=35,prenatal intervention treatment)and postpartum group(n=35,postpartum neonatal single treatment).The incidence of neonatal infection,neonatal birth weight and incidence of adverse reactions were compared between the two groups.Results:There was no significant difference in incidence of neonatal infection and Apgar scores at 1 minute and 5 minutes after birth between postpartum group and prenatal group.The incidence of adverse reactions in postpartum group was lower than that in prenatal group(P<0.05).Conclusion:Prenatal intervention treatment and postpartum neonatal single treatment have the similar effect on pregnant women vaginal streptococcus infection.Postpartum neonatal single treatment can make up for the limitations in prenatal intervention treatment and avoid maternal adverse reactions.Clinically,appropriate treatment methods should be selected according to the actual situations.
作者
吴晓芬
黄凤如
付云
Wu Xiao-fen;Huang Feng-ru;Fu Yun(Department of Obstetrics and Gynecology,Nanfeng People's Hospital,Fuzhou 344500,Jiangxi,China)
基金
抚州市社会发展指导性科技计划项目(编号:[2022]9号103)。
关键词
阴道链球菌感染
产前干预治疗
产后新生儿单独治疗
新生儿感染
Vaginal streptococcus infection
Prenatal intervention treatment
Postpartum neonatal single treatment
Neonatal infection
