探究妊娠晚期生殖道B族链球菌感染对妊娠结局的影响

Influence Investigation of Group B Streptococcus （GBS） Infection on the Outcome of Pregnancy in Late Pregnancy

目的研究妊娘晚期生殖道 B族链球菌（ GBS）感染对妊娘结局的影响.方 这选择妊娘晚期孕妇120例,对120例 实施阴道肛门拭子行 GBS培养,其中有5 0例有 GBS感染作为研究组,另7 0例未发 生 GBS感染,作为观察组,对比两组的 妊娘结局.结果研究组与观察组的分娩方式无明显的差异, P〉0. 05,研究组的宫内感染、胎膜早破、羊水污染、早产、产后 出血的发生率高于观察组,且研究组新生儿病理性黄疸、新生儿窒息、新生儿窘迫及新生儿感染率高于观察组, P〈0. 05. 结论妊娘晚期生殖道 GBS感染可增加妊娘不良结局和新生儿不良结局的发生率,对于妊娘晚期 GBS感染孕妇应采取相关 的干预措施,以改善母婴结局.

Objective To study the influence of Group B Streptococcus （GBS） infection on the outcome of pregnancy in late pregnancy. Methods 120 cases of pregnant women in late pregnancy were enrolled into this study. All 120 cases received vaginal anal swabs for culture of GBS. Among them, a total of 50 cases with GBS infection were regarded as the study group, the other 70 cases showed no GBS infection were enrolled into the observation group, the pregnancy outcomes of the two groups were compared. Results There was no significant difference in the mode of delivery between the study group and the observation group, P〉 0. 0 5 ,the incidence of intrauterine infection, premature rupture of membranes, amniotic fluid pollu-tion, premature delivery and postpartum hemorrhage in the study group was higher than that in the observation group. The incidence of pathological jaundice, neonatal asphyxia, neonatal distress and neonatal infection in the observation group was higher than that in the study group, P〈0. 05. Conclusion GBS infection in reproductive tract of late pregnancy can increase the incidence of adverse pregnancy and the incidence of neonatal adverse outcomes. As to pregnant women with GBS infection in late pregnancy, relevant interventional measures should be taken to improve the maternal and child outcomes.