妊娠合并水痘20例妊娠结局分析  

Pregnancy outcomes of 20 cases of varicella infected pregnant women

作　　者：孙翠玲[1] 张素英[1] 

机构地区：[1]浙江中医药大学附属杭州西溪医院妇产科,杭州311023

出　　处：《国际流行病学传染病学杂志》2013年第4期258-260,共3页International Journal of Epidemiology and Infectious Disease

摘　　要：目的探讨妊娠合并水痘患者的妊娠结局。方法对2010年3月至2013年2月浙江中医大学附属西溪医院收治的20例妊娠合并水痘患者的临床资料进行回顾性分析。结果20例妊娠合并水痘患者中，孕早期感染2例，1例行人工流产终止妊娠，1例早产畸形儿。孕中期感染5例，治愈后继续妊娠，足月分娩新生儿5例，均未患病。孕晚期感染13例，其中产前1周内感染患者7例，分娩新生儿中有2例患病，经积极治疗均治愈。其余新生儿均未患病，产妇恢复良好。结论孕早期水痘患者如继续妊娠，应重视孕中期畸形筛查，而对产前1周内感染的患者则应重视新生儿是否患病，并给予积极抗病毒治疗。Objective To explore the pregnancy outcomes of varicella infected pregnant women. Methods The clinical data of 20 variceUainfected pregnant womenin Xixi Hospital Affiliated to Zhejiang Chinese Medical University from March 2010 to February 2013 were analyzed retrospectively. Results Among 20 cases, 2 cases were infectied in the first trimester, 1 case was abort, and the other was cured and then bore a teratismus premature infant. Five cases were infected in the second trimester and cured to bear full-term healthy neonate. Thirteen cases were infected in the third trimester, of whom 7 cases were infected in 7 days before childbirth, and 2 of the newborns were infected and cured by active treatment. The rest of newborns were unaffected, and the parturients recovered good. Conclusions Early pregnancy patients with varicella if continued pregnancy, should pay attention to the malformation screening in the second trimester. For patients infected in 7 days before childbirth, should pay attention to the newborn prevalence and to give a positive antiviral therapy.

关 键 词：水痘 妊娠 结局 

分 类 号：R714.25[医药卫生—妇产科学]