胎膜早破阴道分泌物的异常对于母婴结局的影响

Influence of the Vaginal Secretions on PROM and the Maternal-infant Outcome

目的：探讨胎膜早破阴道分泌物异常对母婴结局的影响。方法：将2011年1月-2012年12月我院收治的225例胎膜早破患者,按病原体检验结果分为健康组和阴道分泌物异常组,对比两组产妇及围产儿的并发症情况及病死率。结果：病原体检查发现阴道分泌物异常148例,异常率为65.78%;异常组期待治疗时间（3.82±3.23）d短于健康组（8.92±5.67d,P〈0.05）;异常组胎儿窘迫、新生儿窒息、围产儿死亡、绒毛膜羊膜炎、剖宫产的发生率（分别为31.08%、14.86%、4.73%、25.68%、41.22%）高于健康组（分别为16.88%、6.49%、1.30%、15.58%、20.78%）,两组差异有统计学意义（P〈0.01或P〈0.05）。结论：胎膜早破同时存在生殖道感染明显增加围产期母婴并发症发生率,怀孕期间进行阴道分泌物检查很有必要。

Objective： To investigate the influence of the vaginal secretions on PROM and the maternal-infant outcome.Methods：225 patients with PROM in our hospital from January 2011 to December 2012 were divided into normal vaginal secretion group and abnormal vaginal secretion group.The materna-l infant outcomes were analyzed and compared between two groups.Results： There are 148 patients with PROM proved the diagnosis of reproductive tract infection,the abnormal rate of vaginal secretions on PROM was 65.78%.The expectation therapy time in abnormal vaginal secretion group was shortened than that in normal vaginal secretions group, Compared with normal vaginal secretions group,the incidence rates of fetaldistress,asphyxia neonatorum,neonate death,chorioamnioniti s,caesarean section were increased obviously（P〈0.05）.Conclusion：The patients with PROM combined with reproductive tract infection increase the complications of maternity and fetus.Vaginitis should be detectde and cured before and among pregnancy.