妊娠期妇女生殖道感染的临床分析

Clinical analysis of reproductive tract infections during the pregnancy

目的了解妊娠期妇女生殖道感染(RTI)的现状及其易感因素,为制定有效地预防措施提供科学依据。方法按统一的调查表,由妇科接诊医护人员和检验科分别完成,于2009年1月-2011年12月共获有效患者839例,调查结束后进行分类统计。结果共有337例发生生殖道感染,感染率为40.2%,其中两种不同疾病混合感染74例,累计例次感染率49.0%;感染病种最多的是外阴阴道假丝酵母菌病(VVC)、支原体属感染和细菌性阴道病,分别占45.0%、34.8%和16.8%,淋病、衣原体属感染和滴虫性阴道炎合计感染率为3.4%;外来打工文化程度较低者、有人流及泌尿道感染史及个人卫生习惯不良的妊娠期妇女是RTI易感人群。结论妊娠妇女生殖道感染率较高,应加强对妊娠妇女的卫生宣传教育,养成科学的卫生保健习惯,以降低妊娠妇女生殖道感染率。

OBJECTIVE To understand the current status and susceptible factors of reproductive tract infections （RTI） in women during the pregnancy so as to put forward the effective prevention measures. METHODS The united survey tables were accomplished by the receipting doctors and nurses of gynecology and laboratory department. From Jan 2009 to Dec 2011, totally 839 cases of patients were acquired, classified and then were statistically analyzed. RESULTS The RTI were detected in 337 pregnant women with the detection rate of 40. 2%, among which there were 74 cases with two species of pathogens causing mixed infections with the total case-time infection rate of 49.0 % ; the vulvovaginacandidiasis（VVC）, Mycoplasma infection and bacterial vaginosis were the predom-inant infectious diseases, accounting for 45.0%, 34.8% and 16.8%, respectively. The total incidence rate of gonorrhoes, chlamydia infection and trichomonas vaginitis was 3.4%. The pregnant women who were the migrant workers with lower educational background, history of abortion, urinary tract infections , and bad health habits during the pregnancy were at the high risk of RTI. CONCLUSION The incidence rate of RTI is high in the preg-nant women, it is necessary to strengthen the health education to forge a scientific healthcare habit so as to reduce the incidence of RTI in the pregnant women.