妊娠期细菌性阴道病的筛查与诊治

Screening,diagnosis and treatment of bacterial vaginosis in pregnancy

妊娠期细菌性阴道病(bacterial vaginosis,BV)可引起胎膜早破、早产、流产、绒毛膜羊膜炎、新生儿感染及产褥感染等不良妊娠结局。妊娠期BV的诊断主要依据Amsel临床诊断标准及革兰染色Nugent评分标准。需要对既往有感染相关流产、早产病史或有早产危险因素孕妇进行BV筛查,阳性者需进行治疗。妊娠期BV的治疗方案为口服克林霉素或甲硝唑。

Bacterial vaginosis(BV)during pregnancy can cause adverse pregnancy outcomes including premature rupture of membranes,premature birth,abortion,chorioamnionitis,neonatal infection and puerperal infections.The diagnosis of BV during pregnancy is mainly based on Amsel clinical diagnostic criteria and gram-stained Nugent score criteria.Pregnant women with a history of infection-related miscarriage,preterm delivery,or risk factors for preterm delivery should be screened for bacterial vaginosis.Those who are screened positive should be treated with oral clindamycin regimen or oral metronidazole regimen.