妊娠期患肺结核诊治时机与孩子生存质量的相关性

Correlation analysis of the treatment of the time of maternal pulmonary tuberculosis and the prognosis of their children

目的 探讨妊娠期患肺结核诊治时机与孩子生存质量的相关性.方法 将妊娠期患肺结核患者156例按诊治时机分为产前诊治组60例和产后诊治组96例,分别统计孩子生存质量,并与同期98例正常孕妇（对照组）进行比较.结果 产后诊治组孩子患病率和病死率[69.79%（67/96）和8.33%（8/96）]显著高于产前诊治组[13.33%（8/60）和0]和对照组[4.08%（4/98）和0],差异均有统计学意义（P〈0.05）;产前诊治组孩子患病率和病死率与对照组比较,差异无统计学意义（P〉0.05）.结论 妊娠期患肺结核诊治时机是改善孩子生存质量的关键,产前诊治可减少孩子的患病率和病死率,提高孩子的生存质量.

Objective To evaluate the correlation of the diagnostic chance of maternal pulmonary tuberculosis and the prognosis of their children. Methods One hundred and fifty-six patients with maternal pulmonary tuberculosis were analyzed,which were assigned to two groups based on the diagnostic chance： pregnant group （ 60 cases） and postpartum group （ 96 cases）. Living quality of their children was counted, and viewed in parallel with children （98 cases,control group） of healthy mother at the same time. Results The morbidity in postpartum group was 69.79% （67/96）,significantly higher than that in pregnant group [l3.33%（8/60）]（P〈0.05） and control group [4.08%（4/98）]（P〈0.05）. The mortality in postpartum group was 8.33% （8/96）, significantly higher than that in pregnant group （0）（P〈 0.05） and control group （0）（P〈 0.05）.The morbidity and mortality in pregnant group were not significant difference compared with control group（P 〉 0.05 ）. Conclusion Diagnosis and treatment before the parturition of maternal pulmonary tuberculosis can reduce the morbidity and mortality of the children and improve their life quality.