无症状性尿路感染与胎膜早破及早产的关系  

THE ASSOCIATION OF ASYMPTOMATIC URINARY TRACT INFECTION IN PREGNANCY AND PREMATURE RUPTURE OF MEMBRANE AND PREMATURE DELIVERY

作　　者：明芳[1] 周容[1] 江咏梅[2] 周伟[2] 彭冰[1] 周克莲[1] 

机构地区：[1]四川大学华西第二医院妇产科,成都610041 [2]四川大学华西第二医院妇儿医学检验中心

出　　处：《现代预防医学》2007年第7期1372-1373,共2页Modern Preventive Medicine

摘　　要：[目的]探讨无症状性尿路感染与胎膜早破及早产的关系。[方法]收集2004年9月～2005年8月在本院产科住院分娩的孕产妇113例,每例观察对象均无尿路感染的临床表现,且在入院后24 h内取清洁中段尿行尿培养。并按结果分为尿培养阳性组(13例)与尿培养阴性组(100例)。[结果]妊娠期无症状性尿路感染的发生率为11.50%。尿培养阳性组与阴性组胎膜早破发生率分别为15.38%与21.00%,差异无统计学意义(P=1.00),且无症状性尿路感染与胎膜早破无相关性(rs=-0.469,P﹥0.05)。尿培养阳性组与阴性组的早产率分别为46.15%与19.00%,差异有统计学意义(P=0.037),且无症状性尿路感染与早产呈正相关(rs=2.249,P﹤0.05)。[结论]无症状性尿路感染与胎膜早破无关,但与早产的发生有关。[Objectives] To investigate the association of asymptomatic urinary tract infection （AUTI） in pregnancy and premature rupture of membrane （PROM） and premature delivery. [Methods] 113 pregnant women with no urinary tract complaints were included in the study. Clean midstream urine samples were obtained and cultured in 24 hours after hospitalization. [Results] Urine cultures showed the incidence of AUTI was 11.50%. There was no significant difference in the incidence of PROM between positive urine culture group and negative group （15.38% vs 21.00%, P 〉 0.05） . AUTI was not correlated with PROM （rs = -0.469, P 〉 0.05） . However, there was significant difference in the incidence of premature delivery between the two groups （46.15% vs 19.00%, P = 0.037）, and AUTI was correlated with premature delivery （rs = 2.249, P 〈 0.05） . [Conclusion] AUTI is not associated with PROM, but is associated with premature delivery.

关 键 词：妊娠 无症状性尿路感染 胎膜早破 早产 

分 类 号：R711.3[医药卫生—妇产科学]