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目的观察妊娠期生殖道感染对初产妇妊娠结局的影响,以探讨控制不良妊娠结局的相关措施。方法选择2013年7月-2014年7月于妇产科进行定期产检和分娩的276例初产妇,产检过程中发现生殖道感染的112例产妇作为观察组,无生殖道感染的164例产妇作为对照组,统计观察组中感染的病原菌以及比较两组中的妊娠结局。结果观察组生殖道感染主要为外阴阴道假丝酵母菌病,占40.18%,其次为细菌性阴道病占17.86%,发生≥2种混合感染共5例,占4.46%;发生不良妊娠结局观察组共40例占35.71%,对照组发生11例占6.71%,观察组中的发生率明显高于对照组(χ2=29.813,P<0.05)。结论加强对妊娠期初产妇的卫生健康指导,及加强对生殖道感染的监测,配合积极治疗,有利于不良妊娠结局的控制,有利于优生优育工作的开展以及我国人口素质的提高,对于新生儿的生存质量的提高具有重要的意义。
Objective To observe the effect of genital tract infection during pregnancy on the pregnancy outcome of primipara in order to explore the related measures to control the outcome of adverse pregnancy. Methods From July 2013 to July 2014, 276 cases of primipara were selected for regular check-up and delivery in obstetrics and gynecology. 112 cases of genital tract infection were found in the course of pregnancy test. 164 cases without genital tract infection The control group, the pathogen infected in the statistical observation group and the pregnancy outcome in both groups were compared. Results In observation group, genital tract infections were mainly vulvovaginal candidiasis, accounting for 40.18%, followed by bacterial vaginosis accounting for 17.86%, occurrence of ≥2 mixed infections in 5 cases (4.46%), adverse pregnancy outcome observation group A total of 40 cases accounted for 35.71%, control group occurred in 11 cases accounted for 6.71%, the incidence of observation group was significantly higher than the control group (χ2 = 29.813, P <0.05). Conclusion To strengthen the guidance on the hygiene and health of primipara during the first trimester of pregnancy and to strengthen the monitoring of genital tract infection, cooperate with active treatment to control the unfavorable pregnancy outcome, to carry out the prenatal and postnatal care and to improve the population quality in our country The quality of life is of great significance.