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目的检测孕妇细菌性阴道病(BV)的感染情况,并分析妊娠晚期合并BV与妊娠结局的关系。方法对220例妊娠晚期妇女阴道分泌物进行pH测定和革兰染色镜检。根据阴道分泌物的特征、pH和镜检结果,筛查BV患者并跟踪随访部分筛查对象至妊娠终止。结果本组220例孕妇共检出细菌性阴道病患者52例,检出率为23.64%%。观察组胎膜早破、早产、宫内感染和产褥感染的发生率高于对照组孕妇,组间差异有统计学意义(P<0.05);观察组围生儿情况优于对照组(P<0.05)。结论 BV是妊娠妇女常见阴道感染性疾病之一,可明显增加不良妊娠结局的发生率,妊娠期行常规BV筛查和规范治疗十分必要。
Objective To detect the infection of bacterial vaginosis (BV) in pregnant women and analyze the relationship between BV and pregnancy outcome in late pregnancy. Methods 220 cases of women with vaginal discharge during pregnancy were measured pH and Gram stain microscopy. According to the characteristics of vaginal discharge, pH and microscopic findings, screening BV patients and follow-up part of the screening object to the termination of pregnancy. Results The group of 220 pregnant women were detected in 52 cases of bacterial vaginosis, the detection rate was 23.64 %%. The incidence of premature rupture of membranes, premature labor, intrauterine infection and puerperal infection in observation group was higher than that of pregnant women in control group (P <0.05). The perinatal situation in observation group was better than that in control group (P <0.05). Conclusion BV is one of the common vaginal infections in pregnant women, which can significantly increase the incidence of adverse pregnancy outcomes. It is necessary to perform routine BV screening and standardized treatment during pregnancy.