晚期妊娠合并上呼吸道感染对胎儿及新生儿的影响

Influence of late pregnancy complicated with upper respiratory infection for fetal and neonatal

目的:探讨晚期妊娠合并上呼吸道感染对胎儿及新生儿的影响。方法:2013年8月-2014年8月收治上呼吸道感染的晚期妊娠孕妇28例为观察组;选取同期未发生上呼吸道感染的正常晚期妊娠孕妇28例为对照组,对两组患者的胎儿情况和新生儿预后效果对比。结果:观察组的剖宫产率、早产率以及产妇产后、术后持续发热>5 d患者明显高于对照组,差异有统计学意义(P<0.05);观察组的胎儿窘迫发生率、新生儿窒息以及高胆红素血症、轻微畸形发生率明显高于对照组,差异有统计学意义(P<0.05)。观察组的各项临床指标显著高于对照组,差异有统计学意义(P<0.05)。结论:晚期妊娠合并上呼吸道感染对患者的妊娠结局具有直接影响,并且对于胎儿窘迫及新生儿窒息发生率也有所提高,因此必须要采取相应手段对晚期妊娠孕妇上呼吸道感染进行有效防治。

Objective:To explore the influence of late pregnancy complicated with upper respiratory infection for fetal and neonatal.Methods:28 late pregnant women with upper respiratory tract infection were selected from August 2013 to August 2014 as the observation group;at the same time,28 late pregnant women without upper respiratory tract infection were selected as the control group.We compared the fetal and neonatal prognosis of the two groups.Results:In the observation group,the rate of cesarean section,premature delivery rate and postpartum,postoperative continues fever over 5 days patients were significantly higher than those of the control group,and the difference was significant(P<0.05);in the observation group,the incidence of fetal distress,neonatal asphyxia,hyperbilirubinemia,slight deformity rate were obviously higher than those of the control group,and the difference was significant(P<0.05).In the observation group,the clinical indexes were significantly higher than those of control group,and the difference was significant(P<0.05).Conclusion:Late pregnancy combined with upper respiratory tract infection has a direct influence on the outcome of pregnancy,and it can increase the incidence of fetal distress and neonatal asphyxia.Therefore we must adopt corresponding methods to prevent and treat late pregnant women with upper respiratory tract infection.