妊娠合并生殖器疱疹的相关因素分析及多元化干预对策

Related factors of genital herpes occurring in pregnancy and intervention measures

目的:探讨影响妊娠合并生殖器疱疹的相关因素,观察多元化干预措施后的临床效果。方法:随机选取2011年1月～2013年1月285例妊娠期的孕妇,对其中合并生殖器疱疹的35例患者为研究对象,对其影响因素进行分析,并观察多元化干预措施后的临床效果。结果:影响妊娠合并生殖器疱疹的危险因素有不良孕产史、妊娠期感染史、孕期焦虑、不洁性交史、多个性伴侣(>2个)(P<0.05)。而与患者的年龄、孕期体重、孕期体重指数、月经初潮年龄、月经紊乱史、痛经史、孕次、家族史等无关(P>0.05),其中妊娠期感染史、不洁性交史、多个性伴侣是高危险因素。经过多元化干预措施后总有效率为94.3%,抗复发有效率为77.8%。结论:妊娠期感染史、不洁性交史、多个性伴侣是影响妊娠合并生殖器疱疹的危险因素,多元化干预对临床效果大有裨益。

Objectives： To study the related factors of genital herpes occurring in pregnancy and evaluate clinical efficacy of diversified intervention measures. Methods： Thirty - five out of 285 pregnant women who came to our hospital during January 2011 and January 2013 with genital herpes were observed in terms of risk factors and post - intervention clinical efficacy. Results： Related factors include previous abnormal pregnancy, infection and anxiety during pregnancy, feculent sex, multiple sex partners （ 〉 2） （ P 〈 0. 05）. Related factors exclude age, weight, BMI, menarche age, paramenia, dysmenorrhea, gravidity and family history. Infection during pregnancy, feculent sex and multiple sex partners are high - risk factors. After diversified interven- tion measure, the total effective rate is 94. 3%, anti - recurrence effective rate is 77.8%. Conclusion： Infection during pregnancy, feculent sex and multiple sex partners are high - risk factors of geriital herpes. Diversified intervention measures are useful.