妊娠期生殖道感染者不良妊娠结局发生率分析

Relationship between reproductive tract infections during pregnancy and pregnancy outcomes

目的:分析并探讨妊娠期生殖道感染与妊娠结局的关系。方法:选取在我院分娩的合并生殖道感染孕妇400例为观察组,选取同期健康孕妇200例为对照组。结果:细菌感染组胎膜早破、宫内窘迫、羊水过少、新生儿窒息发生率均高于对照组(P<0.05)。支原体感染组胎膜早破、宫内窘迫、羊水过少、新生儿窒息以及新生儿肺炎发生率均高于对照组(P<0.05)。念珠菌感染组胎膜早破、宫内窘迫、新生儿窒息以及新生儿肺炎发生率均高于对照组(P<0.05)。结论:妊娠期生殖道感染不良妊娠结局发生率高,临床上要早期防治。

Objectives： To investigate the relationship between reproductive tract infections in pregnancy and pregnancy outcome. Methods： 400 pregnant women with reproductive tract infections in our hospital were se- lected as the observation group and 200 healthy pregnant women were selected as the control group. Results： In the control group, the incidence of premature rupture of membranes, fetal distress, oligohydramnion, preterm birth, neonatal asphyxia and neonatal pneumonia was 17.0% , 21.0% , 4.0% , 7.0% , 4.0% and 2.0% respectively. The incidences of those in the bacterial infection group were 30. 6% , 50. 6% , 9.4% , 10. 0% , 16. 3% and 5.0% respectively. The incidence of premature rupture of membranes, fetal distress, oligohydramnios and neonatal as- phyxia in the bacterial infection group were higher than those in the control group （ P 〈 0. 05 ）. Those incidences in the mycoplasma infection group were 43.3% , 38.0% , 46.7% , 12.0% , 14.0% and 11.1% respectively. The in- cidence of premature rupture of membranes, myeoplasma infection, fetal distress, oligohydramnios, neonatal as- phyxia and neonatal pneumonia of the mycoplasma infection group were all higher than those in the control group （ P 〈 0. 05 ）. Those in the candida infection group were 27.8% , 32.2% , 8.9% , 7.8% , 24.4% and 12.2% respec- tively. The incidence of premature rupture of membranes, fetal distress, neonatal asphyxia and neonatal pneumonia in the eandida infection group were all higher than those in the control group （ P 〈 0. 05 ）. Conclusion： The inci- dence of adverse pregnancy outcomes is high in pregnant women with reproductive tract infections, so more attention should be paid to the early prevention and detection in clinical.