妊娠期细菌性阴道感染的临床观察  

Vagina Bacterial Infection in Pregnancy:A Clinical Observation

作　　者：王玉锋[1] 霍秀勤[1] 盛红[1] 端青[2] 何君[2] 

机构地区：[1]解放军总医院,北京100853 [2]军事医学科学院微生物流行病研究所,北京100071

出　　处：《中华医院感染学杂志》2004年第2期169-171,共3页Chinese Journal of Nosocomiology

摘　　要：目的　观察阴道清洁度评分与乳杆菌计数的关系 ,了解妊娠期细菌性阴道感染发病情况 ,影响发病的因素和妊娠结局。方法　取后穹隆分泌物 0 .5ml放入MRS培养基中 ,在Bactometer细胞计数仪内 ,进行乳杆菌属细菌计数 ,同时用无菌棉拭子采集分泌物做涂片 ,进行阴道清洁度评分及细胞计数 ,以检出率和含菌数的综合数值作为依据。结果　妊娠期细菌性阴道感染发病率为 8.4 5 % ,发病因素与工作环境、个人卫生知识、不洁性生活等有关 ,孕期感染可造成早破水、胎儿窘迫、新生儿窒息。结论　阴道清洁度评分低 ,分离出乳杆菌属细菌计数高 ;阴道清洁度评分越高而分离出乳杆菌属细菌越低。OBJECTIVE To investigate the incidence rate, the pathogenic factors and the pregnant results in the pregnancy women with vagina bacterial infections by observing the relationship between the vagina cleaning grades and the count of lactobacilli. METHODS Taken 0.5 ml secretion from posterior fornix of vagina and cultured in MRS, then counted the lactobacilli; at the same time the same volume secretion sampled by sterilized wiper was smeared with Gram staining, then gave the vagina cleaning grades and the cell-counting. The detected rates and the cell-counting were analysed. RESULTS The incidence rate of vagina bacterial infection in pregnancy is 8.45%. The pathogenic factors are related to working environment, personal hygiene knowledge, dirty sexual behavior, etc. Early fetal membrane breaks, fetal distress and neonatal asphyxia may occur in the infected pregnant women. CONCLUSIONS The lower the grades of vagina cleaning degree, the larger the count of lactobacilli is.

关 键 词：妊娠期 细菌性阴道感染 妊娠结局 

分 类 号：R711.72[医药卫生—妇产科学]