孕晚期生殖道被B族链球菌感染的患者在其分娩时用抗生素进行治疗的效果分析

An Analysis of the Efficacy of Antibiotic Therapy during Delivery in Patients with Group B Streptococcus Infection of the Reproductive Tract in the Third Trimester of Pregnancy

目的分析孕晚期生殖道被B族链球菌感染的患者在其分娩时用抗生素进行治疗的效果。方法本研究共60例研究对象,均为2018年1月至2020年12月来佛山市三水区人民医院进行阴道分娩的孕晚期生殖道B族链球菌感染患者,采用红绿双色球法进行分组,分为对照组(未采用抗生素进行治疗,n=30)与实验组(采用抗生素进行治疗,n=30)。对照组患者年龄20~36岁;孕周区间37~41周。实验组患者年龄21~36岁;孕周区间37~42周。对比分析两组母婴结局,观察新生儿出生情况。结果在剖宫产率、胎儿宫内窘迫发生率、新生儿肺炎、新生儿窒息以及新生儿B族链球菌感染的发生率上,实验组13.33%、10.00%、6.67%、3.33%、6.67%低于对照组43.33%、33.33%、16.67%、13.33%、26.67%(P<0.05)。出生5min后,在新生儿体质量增长与新生儿Apgar评分上,实验组高于对照组(P<0.05)。结论抗生素用于孕晚期生殖道B族链球菌感染分娩患者的效果理想,可有效改善母婴结局,提高孕妇在产后的生活水平,本次研究对孕晚期生殖道被B族链球菌感染的患者预防治疗方面有着重要的作用,临床可进一步推广运用。

Objective To analyze the effect of antibiotics in the delivery of patients with group B streptococcus infection in the late pregnancy.Methods In this study,a total of 60 cases of the research objects between January 2018 and December 2020 to Foshan Sanshui District People’s Hospital for vaginal delivery late pregnancy vaginal group B streptococcus infection were known.Using red,green two-color ball method,they were divided into control group(not treated with antibiotics,n=30)and experimental group(treated with antibiotics,n=30).The patients in the control group were 20~36 years old;gestational weeks ranged from 37 to 41 weeks.The patients in the experimental group were 21~36 years old;gestational weeks ranged from 37 to 42 weeks.The maternal and infant outcomes of the two groups were compared and analyzed,and the birth situation of newborns was observed.Results The rates of cesarean section,fet al distress,neonatal pneumonia,neonatal asphyxia and group B streptococcus infection in the experimental group were 13.33%,10.00%,6.67%,3.33%,6.67%,lower than those in the control group,43.33%,33.33%,16.67%,13.33%,26.67%(P<0.05).After 5min of birth,the body weight growth and Apgar score of neonates in the experimental group were higher than those in the control group(P<0.05).Conclusion The antibiotics used in late pregnancy childbirth vaginal group B streptococcus infection patients with ideal,can improve and outcomes,and effectively improve the living standard of the pregnant women in postpartum,the research on the late pregnancy genital tract by group B streptococcus infection has important function in the respect of the prevention and treatment of patients,clinical can further promotion application.