孕妇生殖道沙眼衣原体感染对新生儿的影响

Influence of Pregnant Woman Reproductive System Chlamydia Trachomatis (CT) Infection on Newborns

为了解孕妇生殖道沙眼衣原体（ＣＴ）对新生儿的影响，随机对９６例足月妊娠未破膜的孕妇宫颈分泌物及其娩出的新生儿眼、咽、阴道前庭的分泌物用ＰＣＲ法检测ＣＴ，结果发现孕妇感染率为３１２５％，其中活动性感染为４１％，潜伏性感染为６０％。新生儿感染率为１８９％，占母亲感染的６３％，活动性感染为１０５２％，潜伏性感染为８９４８％。其感染与分娩方式有直接关系（Ｐ＜００５）。提示，ＣＴ感染的孕产妇是新生儿感染的重要感染源，产道感染是新生儿ＣＴ感染的主要途径。

To investigate the perinfal infection of CT in pregnant women and the effect on their neonates, CT was detected randomly by PCR in cervical secretion of 96 unrupture embryolemma full-term pregnancy and in eye, throat or vulvar canal secretion semple of their neonates. In pregnant women the CT prevalence was 31 25% and there were 40% active infection and 60% latent infection. The infection rate of their neonates was 18 9%, and there were 10 52% active infection and 89 48% latent infection. The ratio of infected neonates to infected pregnant women was 63%. There was direct relationship between infection and the way of delivery (P<0 05). So, the infected mothers may be an important source for CT infection of neontes, CT transmitted via the labor tract was the main source for the neonated infection.