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目的探讨细菌性阴道病(bacterial vagmosis,BV)与早产、胎膜早破的临床关联。方法选取梅州市妇幼保健院2013年12月-2014年7月收治的细菌性阴道病孕妇90例作为实验组,同期选取390例正常孕妇作为对照组,比较两组孕妇早产、胎膜早破的发生情况。结果研究结果显示,实验组患者早产11例(占12.2%),胎膜早破16例(占17.8%),绒毛膜感染16例(占17.8%)。对照组患者早产18例(占4.6%),胎儿窘迫11例(占2.8%),绒毛膜感染6例(占1.5%)。两组绒毛膜感染、早产及胎膜早破发生率比较,差异具有统计学意义(P<0.05)。结论细菌性阴道病使妊娠产妇胎膜早破及早产发生率明显增加,可引起绒毛膜羊膜炎。孕期应加强对细菌性阴道病筛查,可有效降低早产及胎膜早破发生率。
Objective To investigate the clinical correlation between bacterial vagmosis (BV) and premature labor and premature rupture of membranes. Methods Ninety pregnant women with bacterial vaginosis who were treated in Meizhou MCH from December 2013 to July 2014 were selected as the experimental group and 390 normal pregnant women were selected as the control group in the same period. The incidence of premature labor, premature rupture of membranes What happened? Results The study showed that in the experimental group, 11 cases were premature (accounting for 12.2%), 16 cases were premature rupture of membranes (17.8%) and 16 cases were chorionic infections (17.8%). In the control group, 18 cases were premature (4.6%), fetal distress was 11 cases (2.8%) and chorionic infection was 6 cases (1.5%). The incidence of chorionic infection, premature labor and premature rupture of membranes in the two groups were significantly different (P <0.05). Conclusions Bacterial vaginosis makes premature rupture of membranes and the incidence of preterm birth significantly increased, which can cause chorioamnionitis. Pregnancy should strengthen the screening of bacterial vaginosis, can effectively reduce the incidence of preterm birth and premature rupture of membranes.