孕产妇阴道内环境及其对胎儿新生儿影响的临床分析  

THE CLINICAL ANALYSIS OF THE INFLUENCES OF THE VAGINA ENVIRONMENT OF GRAVIDA AND PUERPERA UPON NEWBORNS AND FETUS

作　　者：彭文芝[1] 金力[1] 翟泽琴[1] 于亚琴[1] 申英[1] 郭燕[1] 张节茹 冯军[1] 

机构地区：[1]河北省承德市中心医院

出　　处：《河北医学》1995年第3期147-150,共4页Hebei Medicine

摘　　要：本文对２４８例孕产妇进行阴道ｐＨ值及分泌物培养，新生儿眼分泌物、胎盘、羊水的细菌培养及胎盘病理等一系列的检查。结果表明：阴道ｐＨ４～５间阳性菌检出率较低，为１．３％，杂菌、无菌生长分别是４１．５％、１２．９％；当ｐＨ＞５．０，阳性菌检出率增高达８０％以上，ｐＨ＜４．０，阳性菌检出率为５．２６％。其菌种以革兰氏阳性球菌为主，其次是革兰氏阴性杆菌。当机体抵抗力低下时或孕期性交等均可造成细菌上行感染，致绒毛膜、羊膜炎、羊水感染等。而这些感染对围产儿的影响，则按不同孕期而异，最终可致流产、死胎、畸形、ＩｕＧＲ、ＳＧＡ、新生儿感染、死亡或后遗症的产生。The article provides a series of data information of the pH value of vagina,the vagina secretion culture,the bacterial culture of the eye,the placenta and the amniotic fluid of the newborn,and the placenta pathology of 248 gravidas and puerperas of Chengde City.According to the article,when the PH value of vagina is 4～5,the positive bacteria occurence ftequency is low(1.3%),other bacteria is 41.5% and aseptic growth is l2.9%;when PH value>5.0,the positive bacteria occurence frequency may be as high as more than 80%; when the PH value<4.0,the positive bacteria occurence frequency is 5.26%.The main bacteria is gram positive coccus and the gram negative bacillus ranks second.When the woman's body resistance is poor or the woman has sexual intercourse during the pregnancy,these colonies can infect ascendently and cause the infection of chorion and amniotic fluid of amniotitis.The influences of these infections upon prenatal child varies with different stages of pregnancy.They can cause abortion,malbrmation,stillbirth,IUGR,SGA,neonatal infection,neonatal death and some other sequelaes.

关 键 词：孕产妇 阴道内环境 细菌 

分 类 号：R714.12[医药卫生—妇产科学]