围产期孕妇沙眼衣原体感染的检测和治疗

Examination and treatment of perinatal pregnant woman chlamydia trachomatis infection

目的探讨妊娠合并沙眼衣原体感染(CT)对妊娠分娩以及新生儿的危害和防治策略。方法采用回顾性分析法对2003年5月至2006年7月在本院产科检查的507例孕妇,对妊娠合并沙眼衣原体感染的136例孕妇病史与聚合酶链反应(PCR)检测结果进行分析,同时选择同期无沙眼衣原体感染的孕妇120例作为对照比较。结果研究孕妇衣原体的感染率达26.8%,发现感染及时治疗的96例孕妇发生孕期、产时及新生儿并发症明显低于因各种原因未经治疗的孕妇(P<0.05)。结论围产期孕妇CT感染对孕妇、胎儿、新生儿具有很大的危害,全面检查和及时治疗能有效防治CT达到优生优育的目的。

Objective To investigate the jeopardize of chlamydia trachomatis （CT） infection on mothers and infants during pregnancy in order to find a strategy to deal with. Methods The case history and exam results of 507 women at different pregnant stages were retrospectively studied from May 2003 to July 2006 in our out-patient, PCR was used to detect cervical CT. Results The positive rate of pregnant women＇s cervical CT was 26.8%. There were significant differences in occurrence rate of premature rupture of membrane, puerperal infection, neonatal pneumonia and neonatal jaundice between positive and negative groups. Conclusion Cervical CT infection in pregnancy has harmful effects on pregnant women and newborn babies. Early diagnosis and treatments of CT infection is important to eugenics.