妊娠、引产、分娩对肺结核患者安全性的影响

Safety effects of pregnancy, induced labor or delivery on tuberculosis patient

目的观察妊娠、引产、分娩对肺结核患者安全性的影响。方法回顾性分析118例妊娠合并活动性肺结核患者妊娠、引产、分娩后的临床资料，取同时期住院的非妊娠活动性肺结核患者120例作为对照组。结果118例患者妊娠期间及终止妊娠后，经积极抗结核治疗115例病情稳定出院，妊娠、引产和分娩未引起结核的扩散，和非妊娠活动性肺结核患者比较，其痰菌阴转速度、胸片病灶吸收、空洞闭合、复发率差异无统计学意义（P〉0．05）。结论妊娠合并肺结核患者经过合理抗结核治疗，妊娠、引产、分娩对肺结核病情无明显不良影响。

Objective To observe safety effects of the pregnancy, induced labor or delivery on tuberculosis patient. Methods A retrospective analysis of 118 pregnancy cases complicating with active pulmonary tuberculosis in pregnancy,inducing labor and materials after delivery in hospital. One hundred and twenty cases with pulmonary tuberculosis patients hospitalized with period of pregnancy were enrolled as control group. Results Among 118 patients in pregnancy and after termination of pregnancy, 115 cases were discharged in stable condition after antitubeculosis treatment. Pregnancy, inducedlabor and delivery did not cause tuberculosis diffusion. Negative conversion rate of sputum, absorption rate of chest lesions, cavity closure and recurrence rate showed no significant difference between activepulmonary tuberculosia and inactive pulmonary tuberculosis （P〉 0.05）. Conclusions Pregnant patients with pulmonary tuberculosis after reasonable antituberculous treatment show no obvious adverse effect on tuberculosis after pregnancy, abortion and childbirth.