围生期下生殖道感染对妊娠结局影响的临床分析

Clinical Analysis of the Effect of Perinatal Lower Genital Tract Infection on Pregnancy Outcome

目的探讨围生期下生殖道感染对妊娠结局的影响。方法方便选择2016年3月—2017年9月期间在闽侯县人民医院妇产科分娩的82例患者作为样该研究资料,通过取阴道和宫颈分泌物进行检测,将其结果分为感染组(n=38)和非感染组(n=44),对2组妊娠结局进行比较。结果 82例分娩者围生期下生殖道感染的发生率为46.34%,其中包括5例(13.16%)衣原体阴道炎孕产妇,13例(34.21%)细菌性阴道病孕产妇,1例(2.63%)链球菌性阴道炎孕产妇,7例(18.42%)滴虫性阴道炎孕产妇,12例(31.58%)外阴阴道假丝酵母菌病孕产妇。且感染组的不同妊娠结局与非感染组相比,早产χ2=19.628;新生儿感染χ2=7.514;产褥感染χ2=7.514;胎膜早破χ2=9.637;未足月胎膜早破χ2=9.637;绒毛膜羊膜炎χ2=2.359;低出生体重儿χ2=21.914,数据差异有统计学意义(P<0.05)。结论围生期发生下生殖道感染对妊娠结局有直接的影响,所以,做好围生期下生殖道感染的筛查和治疗非常关键,有利于母婴健康平安。

Objective To investigate the effect of perinatal lower genital tract infection on pregnancy outcome.Methods 82 patients who were delivered to the Department of Obstetrics and Gynecology of Minhou County People's Hospital from March 2016 to September 2017 were selected as sample data.The results were divided into infected groups by taking vaginal and cervical secretions (n=38) and non-infected groups (n=44),comparing the two groups of pregnancy outcomes.Results The incidence of perinatal lower genital tract infection in 82 cases of delivery was 46.34%,including 5 cases (13.16%) pregnant women with chlamydial vaginitis,13 cases (34.21%) pregnant women with bacterial vaginosis,and 1 case (2.63%),streptococcal vaginitis maternal,7 cases (18.42%) trichomonas vaginitis pregnant women,12 cases(31.58%) vulvovaginal candidiasis pregnant women.And the different pregnancy outcomes of the infected group were compared with the non-infected group,premature delivery χ^2=19.628; neonatal infection χ^2=7.514; puerperal infection χ^2=7.514; premature rupture of membranes χ^2=9.637; premature rupture of membranes χ^2=9.637; chorioamnionitis χ^2=2.359; low birth weight infants χ^2=21.914,the difference was statistically significant (P<0.05).Conclusion The perinatal genital tract infection has a direct impact on the pregnancy outcome.Therefore,it is very important to do a good screening and treatment of the lower genital tract infection during the perinatal period,which is conducive to maternal and child health and safety.