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目的探讨生殖道感染与非足月胎膜早破的关系。方法选择2008年1月至2011年6月未足月胎膜早破孕妇138例作为观察组,选择同期住院的正常孕妇200例作为对照组,对其宫颈管分泌物进行解脲支原体(UU)、沙眼衣原体(CT)检查,阴道分泌物进行细菌性阴道病(BV)、念珠菌、滴虫检测,比较两组各病原菌检出率。结果观察组UU、CT、BV检出率观察组明显高于对照组,差异有统计学意义(P<0.01),念珠菌、滴虫检出率观察组略高于对照组,差异无统计学意义(P>0.05)。结论非足月胎膜早破与生殖道感染密切相关,有必要对妊娠早、中期孕妇进行筛查,针对病因采取相应防治措施,以降低未足月胎膜早破的发生率。
Objective To investigate the relationship between genital tract infection and premature rupture of membranes. Methods 138 cases of premature rupture of membranes from January 2008 to June 2011 were selected as the observation group and 200 normal pregnant women in the same period of hospitalization were selected as the control group. Ureaplasma urealyticum (UU) , Chlamydia trachomatis (CT) examination, vaginal discharge bacterial vaginosis (BV), Candida, trichomoniasis detection, the detection rate of the two groups of pathogens. Results The detection rate of UU, CT and BV in the observation group was significantly higher than that in the control group (P <0.01). The detection rate of Candida and Trichomonas was slightly higher in the observation group than in the control group, with no statistical difference Significance (P> 0.05). Conclusion Premature rupture of membranes is closely related to reproductive tract infection. It is necessary to screen the pregnant women in the first trimester and the second trimester, and take appropriate prevention and treatment measures to reduce the incidence of preterm premature rupture of membranes.