胎膜早破与产妇阴道炎症的相关性分析

目的探讨胎膜早破（PROM）与阴道炎症的相关性，分析病原微生物的感染是否会诱发胎膜早破的发生。方法随机选取2012年12月-2015年5月胎膜早破孕妇146例为观察组，以及未出现胎膜早破的健康孕妇150例为对照组。检测两组产妇的阴道分泌物并比较分析；两组中患有阴道炎症的产妇，需进一步收集胎盘组织进行病理检查。结果观察组产妇的阴道炎症发病率32．2％，显著性高于对照组产妇8．0％的发病率（P〈0．01）。同时，两组产妇胎盘炎合并阴道炎症的结果也显示，观察组惠有阴道炎症的产妇，更倾向于同时患有胎盘炎（P〈0．05）。结论病原微生物的感染很可能是胎膜早破发生的主要原因。

Objective To investigate the correlation between premature rupture of membranes and vaginitis and analyse whether the pathogenic microorganism infections could induce the premature rupture ＆membranes. Methods 146 patients with premature rupture of membranes, receiving treatment in our hospital from 31 December 2012 to l May 2015, were selected as PROM group. And 150 healthy cases were randomly selected as control group. The Results of vaginal secretion examination of these two groups were compared. Furthermore, the pathology examinations of the placenta tissues of patients with vaginitis were carried on. Results The incidence of the vaginitis of PROM group was 32.2%, which was much higher than that （ 8.0% ） of control group （ P〈0.01 ） . In addition, the patients with vaginitis in PROM were more likely to suffer from placentitis （ P〈0.05 ） , according to the result of pathology examinations. Conclusion Pathogenic microorganism infection may be the main cause of premature rupture of membranes.