围生期孕妇生殖道B族链球菌感染的影响因素分析及对妊娠结局的影响

Influence Factors of B Group Streptococcal Infection in Reproductive Tract of Pregnant Women and its Effect on Pregnancy Outcome

目的分析围生期孕妇生殖道B族链球菌感染的影响因素及对妊娠结局的影响。方法选取2015年1月—2018年3月间在晋煤集团成庄矿医院接受检查的围生期孕妇进行研究,所有孕妇均予以快速免疫层析法(ICA)进行检测,选取其中正常围生期孕妇35例作为对照组,选取其中41例生殖道B族链球菌感染孕妇作为研究组。分析围生期孕妇生殖道B族链球菌感染的影响因素以及对妊娠结局的影响结果。结果研究组在年龄≥35岁、有流产史、有阴道炎、无孕前检查、未应用抗生素、新生儿出生后未进行相关检查等方面的发生率高于对照组,组间对比差异有统计学意义(P<0.05);年龄高、有阴道炎、有流产史,无孕前检查、未应用抗生素、新生儿出生后未进行相关检查是围生期孕妇生殖道B族链球菌感染的主要影响因素;研究组孕妇不良妊娠结局发生率为26.83%,新生儿不良结局发生率为31.71%,对照组孕妇不良妊娠结局发生率为8.57%,新生儿不良结局发生率为11.43%,研究组均明显高于对照组,组间差异有统计学意义(P<0.05)。结论减少围生期孕妇生殖道B族链球菌感染的影响因素,做好预防对母婴良好妊娠结局具有重要的意义。

Objective To analyze the influence factors of B group streptococcal infection in reproductive tract of perinatal preg. nant women and its impact on pregnancy outcome. Methods The perinatal pregnant women who were examined in Jin Coal Group Chengzhuang Mine Hospital from January,2015 to March,2018 were studied. All pregnant women were examined by rapid immuno. chromatography(ICA),and 35 normal perinatal pregnant women were selected as the control group,and 41 of them were selected as the study of B streptococcus infection. The influence factors of B group streptococcal infection in reproductive tract of perinatal preg. nant women and the results of pregnancy outcome were analyzed. Results The incidence of the study group was higher than that of the control group at the age of 35 years above,having a history of abortion,having a history of abortion,having a vaginitis,having no pre pregnancy examination, without using antibiotics, and having no related examination after the birth of a newborn(P<0.05);the main influencing factors of B streptococcus infection in perinatal pregnant women were old age,vaginitis,history of abortion,no prenatal examination,no antibiotics,and no related examination after birth;the incidence of undesirable pregnancy outcome in the study group was 26.83%,and the incidence of bad outcome was 31.71% in the newborns. The incidence of undesirable pregnancy in the control group was 8.57%,and the incidence of neonatal adverse outcome was 11.43%. The study group was significantly higher than the control group. The difference between the groups was statistically significant(P<0.05). Conclusion To reduce the risk fac. tors of B group streptococcal infection in reproductive tract of pregnant women is very important for good pregnancy outcome.