UU、CT、GBS感染与胎膜早破合并羊膜腔感染综合征的关系研究  

Relationship of UU,CT,GBS infection with premature rupture of amniotic infection syndrome merger

作　　者：葛新苗 

机构地区：[1]北京华府妇儿医院,北京100022

出　　处：《现代中西医结合杂志》2015年第32期3562-3564,共3页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的探讨解脲支原体(UU)、衣原体(CT)、B族链球菌(GBS)感染与胎膜早破合并羊膜腔感染综合征(IAIS)的关系。方法选择单纯胎膜早破孕妇32例作为单纯胎膜早破组,胎膜早破合并羊膜腔感染孕妇52例作为合并羊膜腔感染组,另选取60例无胎膜早破孕妇作为对照组,收集3组孕妇宫颈分泌物,并采用胶体金方法测定UU、CT感染情况,采用实时定量PCR法检测GBS感染情况,分析UU、CT、GBS感染对母婴妊娠结局的影响。结果单纯胎膜早破组及合并羊膜腔感染组UU、CT、GBS感染率明显高于对照组(P均<0.05),合并羊膜腔感染组明显高于胎膜早破组(P均<0.05)。单纯胎膜早破组及合并羊膜腔感染组剖宫产、产后出血、产程延长、产褥感染率及围生儿感染、早产、围生儿死亡、羊水污染、新生儿肺炎、新生儿窒息、胎儿宫内窘迫、宫内发育迟缓发生率均高于对照组(P均<0.05),而合并羊膜腔感染组均高于单纯胎膜早破组(P均<0.05)。结论 UU、CT、GBS感染可能是IAIS发生的高危因素,UU、CT、GBS感染可增加母婴不良妊娠结局的发生,应引起临床重视。Objective It is to investigate the relationship of UU, chlamydia （CT） , B streptococcus （GBS） infection with premature rupture of amniotic infection syndrome merger （ IAIS）. Methods The UU, CT infection rate of 84 cases of pregnant women （32 cases of premature rupture of membranes;52 cases of alone combined amniotic infection） and 60 patients without tire premature rupture of membranes in pregnant women as a control group were detected with colloidal gold and GBS infection rate were detected with PCR. The UU, CT, GBS infection on maternal outcome of pregnancy were analyzed. Results The UU, CT, GBS infection positive rate of premature rupture of membranes group and merge amniotic groups were higher than control group （ P 〈 0.05 ） , the UU, CT, GBS infection positive rate of combined amniotic infection were higher than premature rupture of membranes group （ P 〈 0.05 ）. The merge simple amniotic infection cesarean section, postpartum hemorrhage, prolonged la- bor, puerperal infection rate of membranes group and merge amniotie groups were higher than control group （P 〈 0.05 ）. The merge simple amniotic infection cesarean section, postpartum hemorrhage, prolonged labor, puerperal infection rate of mem- branes group and merge amniotic groups were higher than control group （ P 〈 O. 05 ）. The premature rupture , fetal distress, perinatal death rate, meconium, neonatal asphyxia, neonatal pneumonia, premature children, intrauterine stunting, cord en- tanglement, premature rupture of membranes group perinatal infection were higher than alone combined amniotic infection group（P 〈0.05）. Conclusion UU, CT, GBS infection may be risk factors for the occurrence of IAIS, UU, CT, GBS infection may increase the incidence of maternal adverse pregnancy outcomes, should lead to clinical attention.

关 键 词：解脲支原体 衣原体 B族链球菌 胎膜早破 羊膜腔感染综合征 

分 类 号：R714.46[医药卫生—妇产科学]