摘要
目的 探讨女性生殖道支原体及衣原体感染对妊娠的影响。方法 选择2012年7月至2015年7月处于妊娠期发生衣原 体及支原体感染的202例产妇,将其作为感染组,其中120例为治疗组,其余82例为未治疗组,另外选取同时间段内 于我院进行产检的未发生生殖道感染的185例孕妇作为对照组。比较对照组与感染组孕产妇、围产儿合并症发生 情况;治疗组与未治疗组孕产妇、围产儿合并症发生情况。结果 感染组出现流产、早产、宫内生长受限、未足 月胎膜早破、死胎死产、产褥病、低体重儿及新生儿肺炎发生率均显著高于对照组(P<0.05);治疗组流产、早 产、宫内生长受限、未足月胎膜早破、死胎死产、产褥病、低体重儿及新生儿肺炎发生率均显著低于未治疗组(P <0.05)。结论 女性生殖道支原体及衣原体感染对妊娠结局产生不良影响,应注意加强产前检查,及时治疗,改善 妊娠结局。
Objective To investigate the effects on pregnancy and female genital tract mycoplasma infection chlamydia. Methods From July 2012 to July 2015 occurrence in pregnancy chlamydia and mycoplasma infection in 202 cases of maternal infection as a group, of which 120 cases were treated, and the remaining 82 cases to the untreated group, in addition to select the same time in our hospital for check-in paragraph 185 pregnant women of reproductive tract infections did not occur as a control group. Comparison of the control group and infected group maternal, perinatal complication circumstances, the treatment group and the untreated group, maternal, perinatal complications were observed. Results (1) Infection miscarriage, premature delivery, intrauterine growth restriction, preterm rupture of membranes, stillbirths, puerperal disease, low birth weight children and neonatal pneumonia were significantly lower than the control group (P<0.05). (2) Treatment group miscarriage, premature delivery, intrauterine growth restriction, preterm rupture of membranes, stillbirths, significantly lower puerperal disease, low birth weight children and the incidence of neonatal pneumonia in the untreated group (P<0.05). Conclusion The female reproductive tract mycoplasma and chlamydia infection have adverse effects on pregnancy outcomes, should pay attention to strengthening prenatal care, thereby improving pregnancy outcomes.
【关键词】女性生殖道感染;支原体;衣原体;妊娠结局
【中图分类号】R339.2+2
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.04.017
前言
女性生殖道是众多微生物或细菌感染的好发部 位,尤其是妊娠妇女,其生殖道更是各种微生物或 细菌感染的好发部位[1]。由于生殖道感染会对妊娠结 局产生各种不利的影响,所以如何尽早发现围产期生 殖道感染,并采取针对性较强的预防措施,优化妊娠 结局,这是妇产科一直面临的重大难题与挑战[2]。妊 娠合并生殖道感染会造成各种不良妊娠结局,如流 产、胎膜早破、宫内感染等。这不仅会对孕妇生命健 康产生不良影响,同时也会对孕妇的家庭带来巨大的 心理、经济负担,甚至还会造成家庭破裂[3]。目前, 支原体与衣原体是导致女性生殖道感染的常见病原菌[4]。女性生殖道一旦被支原体、衣原体感染容易导 致出现多种妇科症状,甚至还会引起不孕不育,对女 性的身心健康产生严重的影响。近年来,产前检查不 断完善,临床上越来越重视女性生殖道支原体及衣原 体感染对妊娠结局的影响。为探讨支原体、衣原体感 染与妊娠结局的相关性,对过往资料进行回顾性分 析,现将结果报告如下。
罕少疾病杂志
第23卷, 第 5 期
2019年11月
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