妊娠麻疹34例临床分析  

Clinical analysis of 34 cases of measles infection in pregnancy

作　　者：韩旭[1,2] 杨积明[3] 

机构地区：[1]天津市传染病医院 [2]天津中医药大学研究生院 天津肝病医学研究所,300192 [3]天津市传染病医院 天津肝病医学研究所,300192

出　　处：《传染病信息》2012年第2期109-111,共3页Infectious Disease Information

摘　　要：目的探讨妊娠妇女感染麻疹的症状、体征及妊娠结局,为妊娠麻疹的防治提供依据。方法回顾性分析2005年1月—2010年5月天津市传染病医院34例妊娠合并麻疹患者的麻疹疫苗接种史、临床表现、检查结果、并发症以及治疗和转归。结果在34例中,23例早、中期妊娠合并麻疹发生流产及死胎5例,占21.7%,高于正常妊娠自然流产发病率(10%～15%);11例晚期妊娠中2例早产,2例因宫内窘迫行剖宫术,3例新生儿麻疹。结论建议未患过麻疹或未接种过麻疹疫苗的育龄期妇女,在准备怀孕前注射麻疹疫苗,注射疫苗与准备怀孕的时间至少间隔1个月。Objective To investigate the signs and symptoms and outcome of measles infection in pregnancy, so as to pro- vide evidence for the prevention and treatment of measles infection in pregnancy. Methods A retrospective study was carried out on measles vaccination history, clinical manifestations, laborotary results, complications, treatment and outcome in 34 cases of measles infection in pregnancy treated in Tianjin Infectious Diseases Hospital from Jan. 2005 to May 2010. Results Abortion and stillbirth occurred in 5 （21.7%） patients among 23 patients in the early and middle stages of pregancy, and the percentage was high- er than that of normal incidence of spontaneous abortion, which was 10% to 15%. Of 11 patients in the late stage of pregnancy, preterm birth occurred in 2 patients, caesarean section was performed on 2 patients due to fetal distress, and 3 patients had neonates with measles. Conclusions It is suggested that the women in childbearing age who have not been infected with measles or vacci- nated with a measles vaccine should be given measle vaccination before the preparation for pregnancy, and the interval between vaccination and preparation for pregnancy should be at least 1 month.

关 键 词：麻疹疫苗 麻疹 孕妇 子宫疾病 妊娠 

分 类 号：R511.1[医药卫生—内科学]