孕妇生殖道B族链球菌感染对母婴预后影响的临床研究

Clinical study on the effect of B streptococcus infection on maternal and infant prognosis in pregnant women's reproductive tract

目的观察孕妇生殖道B族链球菌感染对母婴预后的影响,旨意在于提升临床对孕妇生殖道B族链球菌感染的认知度,为孕妇生产安全提供助力。方法选取2017年1~6月间本院30例生殖道B族链球菌感染待产孕妇作为研究对象,设为研究组,均经阴道分泌物细菌培养鉴定确诊,将同期未合并生殖道感染的健康孕妇30例设为对照组,两组孕周均为(36.5±0.3)周,比较两组孕妇妊娠表现。结果两组患者宫内感染、养水污染、产后出血等发生率差异无统计学意义(P>0.05);研究组孕妇胎盘早破、剖宫产、胎儿窘迫综合症发生率均明显高于对照组,且新生儿感染率、黄疸发生率、窒息发生率、肺炎发生率均高于对照组,差异具有在统计学意义(P<0.05)。结论孕妇生殖道B族链球菌感染的发生可提升围产期胎盘早破、胎儿窘迫、剖宫产等情况的发生几率,增加新生儿感染、窒息、黄疸等危重疾病的发生,因此建议在孕妇围产期需重视对生殖道B族链球菌感染的防治工作。

Objective To observe the effect of B streptococcus infection on maternal and neonatal prognosis in pregnant women, to enhance the awareness of B streptococcus infection in pregnant women, and to provide assistance for pregnant women＇s safety in production. Methods 30 pregnant women with reproductive tract infection of B Streptococcus from January 2017 to June 2017 in our hospital were selected as the research group. All of whom were identified by bacterial culture of vaginal secretions. 30 healthy pregnant women who had not been infected with genital tract infection in the same period were selected as the control group. The gestational weeks of the two groups were （36.5 ± 0.3） weeks. The pregnancy performance of two groups of pregnant women was compared. Results There was no significant difference in the incidence of intrauterine infection, amniotic fluid pollution and postpartum hemorrhage between the two groups （P 〉 0.05）. The incidence of premature rupture of placenta, cesarean section and fetal distress syndrome in the study group were significantly higher than those in the control group. The infection rate, incidence of jaundice, asphyxia incidence and pneumonia incidence in the study group were all higher than those in the control group, the differences were statistically significant （P 〈 0.05）. Conclusion The occurrence of B streptococcus infection in pregnant women can increase the incidence of perinatal placental abruption, fetal distress and cesarean section, and increase the incidence of neonatal infection, asphyxia, jaundice and other critical diseases. Therefore, it is suggested that the prevention and control of B streptococcal infection in the reproductive tract should be paid attention to during the perinatal period of pregnant women.