孕妇妊娠期生殖道感染影响妊娠结局的分析

Impact of gestational reproductive tract infections on pregnancy outcomes

目的观察妊娠期生殖道感染对初产妇妊娠结局的影响,以探讨控制不良妊娠结局的相关措施。方法选择2013年7月-2014年7月于妇产科进行定期产检和分娩的276例初产妇,产检过程中发现生殖道感染的112例产妇作为观察组,无生殖道感染的164例产妇作为对照组,统计观察组中感染的病原菌以及比较两组中的妊娠结局。结果观察组生殖道感染主要为外阴阴道假丝酵母菌病,占40.18%,其次为细菌性阴道病占17.86%,发生≥2种混合感染共5例,占4.46%;发生不良妊娠结局观察组共40例占35.71%,对照组发生11例占6.71%,观察组中的发生率明显高于对照组(χ2=29.813,P<0.05)。结论加强对妊娠期初产妇的卫生健康指导,及加强对生殖道感染的监测,配合积极治疗,有利于不良妊娠结局的控制,有利于优生优育工作的开展以及我国人口素质的提高,对于新生儿的生存质量的提高具有重要的意义。

OBJECTIVE To observe the impact of the gestational reproductive tract infections on the pregnancy out‐comes of unipara so as to put forward related measures to control the adverse pregnancy outcomes .METHODS A total of 276 unipara who underwent regular antenatal examination and gave birth from Jul 2013 to Jul 2014 were enrolled in the study ,then 112 unipara with reproductive tract infections were assigned as the observation group , and 164 unipara without reproductive tract infections were set as the control group ;the distribution of pathogens causing the infections in the participants of the observation group was observed ,and the pregnancy outcomes were compared between the two groups .RESULTS Among the unipara with reproductive tract infections in the observa‐tion group ,40 .18% were with vulvovaginal candidiasis ,17 .86% were with bacterial vaginosis ,and more than two types of mixed infections occurred in 5 （4 .46% ） cases .There were totally 40 （35 .71% ） cases of adverse pregnancy outcomes in the observation group and 11 （6 .71% ） cases in the control group ,the incidence of the ad‐verse pregnancy outcomes of the observation group was significantly higher than that of the control group （χ2 =29 .813 ,P〈0 .05） .CONCLUSION It is an effective way to strengthen the health education of the unipara during pregnancy ,intensify the surveillance of reproductive tract infections ,and conduct active treatment so as to control the adverse pregnancy outcomes ,which is conducive to the conduct of prenatal and postnatal care and the improve‐ment of population quality as well as the improvement of survival quality of neonates .