产前阴道内B族链球菌携带对母儿的影响

Effects of Vaginal Group B StreptococcalCarrier State at Term on Mother infant

为探讨妊娠晚期阴道Ｂ 族链球菌（ＧＢＳ） 携带对母儿的影响，采用乳胶凝集抗体法对１０２ 例产前孕妇阴道内及其新生儿口耳分泌物进行ＧＢＳ 检测。结果：产前孕妇ＧＢＳ 带菌率为３２ ．４ ％ ，主要与肥胖、糖耐量不耐受等因素有关。ＧＢＳ阳性组产褥感染率明显高于ＧＢＳ阴性组（ Ｐ＜ ０ ．０５） 。ＧＢＳ 阳性组新生儿带ＧＢＳ 率为６０ ．６ ％ ，ＧＢＳ 阳性组新生儿的感染率虽高于阴性组，但无统计学意义（ Ｐ＞ ０ ．０５） 。结果提示：妊娠晚期阴道内ＧＢＳ 携带增加母儿感染率，有必要进行合理地筛查和治疗。

Toinvestigate effect of vaginalgroup B streptococcalcarrierstate (GBS) in gravid women at term on mother infant. GBS was screened in discharge of 102 gravid women′s vaginal secretion at term and infant′s mouth ear secretion . The prevalence of GBSin these gravid women and their newborn was 32 .4 % , 60 .6 % , mainly associated with obesity , glucose intolerance . The incidence of puerperal infection was higherin women with GBSthan those without GBS( P< 0 .05) .It was alsofound thatthere were moreinfant infections in GBSpositive group than in GBSnegative group , however no statistically significant difference ( P> 0 .05) . The resuts showed that Gravid women with GBSare associated with maternal and newborn infection .Itis necessary to screen and treatrationally GBSatterm .