胎膜早破与孕产妇生殖道支原体属及细菌感染的关系探讨

Investigation of relationship between premature rupture of membranes and maternal Ureaplasma urealyticum,Chlamydia trachomatis and bacterial vaginosis

目的探讨胎膜早破与孕产妇生殖道解脲脲支原体(Uu)、沙眼衣原体(Ct)及细菌感染的关系。方法选择医院2008年1月-2010年1月收治的156例胎膜早破的孕产妇作为观察组,随机抽取同一时期足月妊娠的孕产妇160例作为对照组,对其生殖道分泌物进行Uu、Ct及细菌感染检测,比较两组的检测结果。结果观察组孕产妇生殖道分泌物的总阳性率为88.5%,与对照组总阳性率58.8%比较,差异有统计学意义(P<0.05)。结论胎膜早破孕产妇病因与Uu、Ct感染密切相关,同时胎膜早破合并Uu、Ct给孕产妇及围产儿带来不良的后果,因此应针对病因做好一系列的防治措施,提高孕产妇及围产儿的生活质量。

OBJECTIVE To investigate the relationship between premature rupture of membranes and maternal Ureaplasma urealyticum（Uu）,Chlamydia trachomatis（Ct） and Bacterial vaginosis.METHODS 156 cases of premature rupture of the pregnant women from January 2008 to January 2010 treated in our hospital were set as the observation group.160 cases of full-term pregnancy pregnant women during the same period were randomly selected as the control group.The secretion of reproductive tract material was collected for Uu,Ct and BV testing,and the test results were analyzed.RESULTS The total positive rate of maternal genital tract secretions for the observation group was 88.5%,and the control group was 58.8%;there was significant difference（P0.05）.CONCLUSION The premature rupture of membranes is closely related with the infection of Uu and Ct.The premature rupture of membranes combined with Uu and Ct bring adverse effects.It is necessary to take a series of control measures according to the risk factors to improve maternal and perinatal quality.