胎膜早破与孕妇生殖道感染关系的临床观察

Clinical observation of relationship between premature rupture of membrane and infection of gential tract in pregnant women

目的探讨胎膜早破与孕妇生殖道解脲支原体(MU)、沙眼衣原体(CT)、细菌性阴道病(BV)感染的关系以及给母婴带来的不良影响。方法收集本院2007年12月—2009年11月胎膜早破分娩的孕妇75例为观察组,随机抽取同期足月妊娠孕妇60例作为对照组,对其生殖道分泌物进行MU、CT、BV检测。结果观察组孕妇生殖道感染总阳性率为84%,对照组为58%,2组比较有显著性差异(P<0.05);观察组孕妇并发症总发生率为94%,而对照组为57%,有显著性差异(P<0.01);观察组新生儿并发症发生率为84%,而对照组为57%,有显著性差异(P<0.05)。结论胎膜早破病因与MU、CT、BV感染关系密切,而且胎膜早破合并MU、CT、BV可给孕妇及围生儿带来不良后果,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 It is to approach the relationship between premature rupture of membrane（PROM） and mycoplasma urealytium（MU）,chlamydia trachomatis（CT） and bacterial vaginosis（BV） infections of gential tract in pregnant women and it＇s unhealth influence in pregnant women and newborn.Methods 75 cases of PROM birth were collected as observation group and 60 cases of uterogestation were collected as control group from Dec.2007 to Nov.2009.MU,CT and BV in vaginal secretions were detected.Results The total positive rate of gential tract infections in observation group was 84% and that in control group was 58%,and there was significant difference between the two groups（P〈0.05）.The total incidence rate of complication in pregnant women in observation group was 94% and that in control group was 57%,and there was significant difference between the two groups（P〈0.01）.The total incidence rate of complication in newborn in observation group was 84% and that in control group was 57%,and there was significant difference between the two groups（P〈0.05）.Conclusion The cause of PROM has close relationship with MU,CT and BV infections.PROM combined with MU,CT and BV can bring about unhealth consequence to pregnant women and newborn.So it is necessary for pregnant women to have a routine screening teat in the first and second trimester of pregnancy.