妊娠晚期妇女B族链球菌带菌情况与母婴预后的关系  

Relationship between group B streptococcus in late pregnant women and maternal-neonatal outcomes

作　　者：黄晓玲[1] 林云霞[1] 梁敏洪[1] 何艳君[1] 

机构地区：[1]中山市博爱医院妇产科,广东中山528400

出　　处：《中国计划生育和妇产科》2015年第10期45-47,共3页Chinese Journal of Family Planning & Gynecotokology

基　　金：中山市科技计划项目(项目编号:20132A021)

摘　　要：目的探讨妊娠晚期妇女B族链球菌(group B streptococcus,GBS)带菌情况与母婴预后的关系。方法回顾性分析2013年1月至2014年9月在中山市博爱医院妇产科住院的2 800例妊娠晚期孕妇的临床资料,筛选出其中泌尿生殖道B族溶血性链球菌检测为阳性的160例孕妇为观察组,选取160例阴性结果孕妇为对照组,比较两组母婴预后状况。结果 160例阳性患者均出现相应的临床症状,经治疗后118例治愈,治愈率达73.75%。治疗后发病57例,发病率为35.63%。观察组羊水污染率、新生儿感染率及宫内感染率均高于对照组(P<0.05);观察组剖宫产率高于对照组(P<0.05)。结论妊娠晚期阴道及泌尿系统携带有B族溶血性链球菌,可增加宫内感染、羊水污染、胎儿宫内窘迫、新生儿感染率,并可增加剖宫产率。Objective To investigate the relationship between group B streptococcus （GBS） in late pregnant women and maternal - neonatal outcomes. Methods Clinical data of 2800 late pregnant women in Boai Hospital of Zhongshan City during Jan 2013 to Sep 2014 were retrospectively analyzed, 160 GBS positive cases were selected as observation group, and 160 GBS negative cases were selected as control group. The maternal - neonatal outcomes of two groups were compared. Results Clinical symptoms appeared in 160 GBS positive eases. 118 patients were cured after treatment, the cure rate was 73.75 %. 57 cases were at onset, the incidence was 35.63 %. The amniotic fluid contamination rate, infection rate of newborn and intrauterine infection rate in observation group were higher than those in control group （ P 〈 0. 05 ）. The cesarean section rate of observation group was significantly higher than that of control group （ P 〈 0. 05 ）. Conclusion The GBS infection in late pregnancy can increase intrauterine infection , amniotic fluid contamination, fetal distress in uterus, infection rate of newborn, and the cesarean section rate.

关 键 词：妊娠晚期 B族链球菌 母婴预后 

分 类 号：R714.153[医药卫生—妇产科学]