胎膜早破与孕妇生殖道解脲支原体、沙眼衣原体、细菌感染的关系

Significance of CT, UU and BV Infection in Causing PROM Birth

目的了解胎膜早破与孕妇生殖道感染解脲支原体(UU)沙眼衣原体(CT)、细菌性阴道病(BV)的关系,以及给母婴带来不良的影响。方法收集我院2002年11月-2004年11月分娩的孕妇237例和随机抽取同期足月妊娠孕妇384例作为对照组,对其生殖道分泌物进行UU、CT、BV检测。结果胎膜早破孕妇检测结果,总阳性率82.7%,与对照组总阳性率58.3%相比有显著差异(P<0.01)。结论胎膜早破病因与UU、CT、BV感染关系密切,而且胎膜早破合并UU、CT、BV可给孕妇及围产儿带来不良后果,有必要对妊娠早、中期孕妇进行筛查,针对病因做好防治措施。

Objective To study the relationship between premature rupture of the amniotic membranes (PROM) and CT, UU, and BV infections in vagina. Method Vaginal secretions collected from 237 cases of PROM birth and 384 cases of normal full term birth were tested for CT, UU and BV. Result In the PROM birth group, the total positive rate of CT, UU, and BV was 82.7%, while that of the normal group was 58.3%(P < 0.01). Conclusions There is a close relationship between PROM and CT,UU,and BV infection. The infection shows a adverse effects on the babies and mothers. So it is necessary for pregnant women to have a routine screening test in the first and second trimester of pregnancy.