妊娠期细菌性阴道病局部治疗与早产关系38例临床研究  

Clinical analysis for preventment of preterm and vaginal treatment of gestational bacterial vaginosis

作　　者：张媛[1] 邵勇[2] 

机构地区：[1]重庆市妇幼保健院母婴中心,400013 [2]重庆医科大学附属第一医院妇产科,400016

出　　处：《重庆医学》2009年第13期1613-1614,共2页Chongqing medicine

摘　　要：目的探讨妊娠期细菌性阴道病（BV）的局部治疗与早产发生率的关系。方法选择2007年1月至2008年1月在本院母婴中心作产前检查的妊娠12-36周的孕妇，对有BV临床症状的孕妇进行BV筛查，阳性者378例，随机选择其中191例为治疗组，甲硝唑阴道上药，另187例为对照组，观察两组的早产率、晚期流产率和未足月胎膜早破发生率。结果治疗组的早产率、晚期流产率和未足月胎膜早破发生率明显低于对照组，差异有统计学意义（P〈0．05）。结论妊娠期BV局部治疗可以降低早产发生率。Objective To investigate the relationship between preterm birth and vaginal treatment of gestational bacterial vagi- nosis. Methods 378 cases of pregnant women who accepted antenatal care in our hospital from January 2007 to January 2008 were diagnosed as bacterial vaginosis. They were randomisely divided into two groups. 191 cases of pregnant women （group 1） were ac- cepted metronidazole treatment by vagina, while 187 cases of pregnant women （group 2） were presented nothing. Results The inci- dence of preterm birth,late abortion and preterm premature rupture of membranes in group 1 was lower than those of group 2 sig- nificantly（P〈0.05）. Conclusion The incidence of preterm birth caused by gestational bacterial vaginosis may be decreased by treatment of metronidazole by vagina.

关 键 词：妊娠 细菌性阴道病 早产 

分 类 号：R714.2[医药卫生—妇产科学]