孕期沙眼衣原体感染筛查与干预对母婴结局影响的临床分析

Clinical analysis of effection for maternal and infant outcomes of screening and interfering for Chlamydia Trachomatis infection in pregnancy

目的研究孕妇行沙眼衣原体感染筛查和干预对母婴结局影响。方法对孕中晚期妇女进行沙眼衣原体筛查,并根据是否有沙眼衣原体感染及是否接受治疗分为3组。阳性未治疗者为A组,阳性并接受治疗者为B组,阴性者为C组。观察三组胎膜早破、早产、产褥病率、绒毛膜羊膜炎及新生儿感染比率。结果衣原体感染并接受治疗组其胎膜早破、早产、产褥感染、绒毛膜羊膜炎及新生儿感染率较阳性未接受治疗组低,且差异均有统计学意义。结论孕期衣原体筛查和干预可降低母婴并发症,具有重要的临床意义。

Objective To study the effection for maternal and infant outcomes of screening and interfering for Chlamydia Trachomatis infection in pregnancy. Methods To screen second trimester and late pregnant women for Chlamydia Trachomatis,and the women were divided three groups on the basis of Chlamydia Trachomatis Infection and whether were treated. Group A： The pregnant women who were infected Chlamydia Trachomatis and didn＇t receive treatment. Group B： The pregnant women who were infected Chlamydia Trachomatis and received treatment. Group C： The pregnant women who were not infected Chlamydia Trachomatis. To compare the rates of the three groups of the premature rupture of membranes,preterm delivery,puerperal morbidity,chorioamnionitis and neonatal infection. Results The premature rupture of membranes,preterm delivery,puerperal morbidity,chorioamnionitis and neonatal infection rates of the pregnant women who were treated were lower than the didn＇t received treated,and the difference had statistically sense.Conclusion Chlamydia Trachomatis screening and interfereing in pregnancy can reduce maternal and children complications,and have important clinical implications.