围产期沙眼衣原体感染及中药治疗的临床观察  

Clinical Observation on Perinatal Chlamydia Trathomata Infection

作　　者：霍秀勤[1] 翁霞云[1] 李亚里[1] 龚清颖 叶美美[1] 

机构地区：[1]北京解放军总医院妇产科

出　　处：《中华妇产科杂志》1995年第8期460-462,共3页Chinese Journal of Obstetrics and Gynecology

摘　　要：对３２０例在我院产科门诊围产保健的孕妇，采用单克隆抗体免疫荧光法进行生殖道沙眼衣原体（ＣＴ）抗原的筛查。并研究其临床特征，治疗方法及对新生儿的传播。结果：孕期ＣＴ感染检出８６例，检出率为２６．８８％，６４例经中药治疗后７３．４４％转为阴性，转为阴性后新生儿感染率为２３．４０％，虽治疗ＣＴ仍阳性者新生儿感染率８８．２４％。８６例中有２１例已接近预产期不宜局部治疗，另有１例对药物过敏未予治疗，未经治疗的孕妇其新生儿感染率为８１．８２％。揭示：产前治疗对预防母儿间传播有重要意义；中药治疗ＣＴ感染有一定疗效。bjective To screen antigen of genital chlamydia trachomata(CT)in pregnant women and to study its clinical characteristics, treatment and transmision to the newborns. Method Monoclone antibody immuno-fluorescence was employed in assaying. Results Positive incidence of CT infection during pregnancy was 86 cases(26. 88%),of whom 47/64 cases (73.44%)treated with traditional Chinese herbs for 2 weeks became negative. The other 22 were not treated because either they were too near to term(21 cases)or had local allergic reaction (1 case).Incidence of positive CT in newborns from untreated mothers was 81. 82%, treated and be- came negative was 23.40%,treated but still positive was 88. 24%. Conclusion Antenatal treatment is of importa nce in preventing intrapartum transmission of CT from mother to child. The data indicated that treatment with traditionaI Chinese herbs was effective.

关 键 词：沙眼衣原体 围产期学 中医药疗法 

分 类 号：R374.1[医药卫生—病原生物学] R271.942.5[医药卫生—基础医学]