孕妇生殖道沙眼衣原体与解脲脲支原体感染对胚胎停育的影响分析  

Effect of Ct and Uu infections on embryo damage

作　　者：董晓娟 何婵凤 王妍 余意 时玲[1] 

机构地区：[1]上海市第六人民医院金山分院妇产科,上海201503

出　　处：《中华医院感染学杂志》2016年第8期1868-1870,共3页Chinese Journal of Nosocomiology

基　　金：上海市科学技术委员会科研基金资助项目(11DZ1931500)

摘　　要：目的探讨孕妇生殖道沙眼衣原体(Ct)、解脲脲支原体(Uu)感染对胚胎停育的影响,为防治孕妇胚胎停育提供临床依据。方法选择2013年1月-2015年10月医院妇产科收治的胚胎停育孕妇147例,作为观察组,同期选取正常妊娠孕妇130例为对照组,观察两组孕妇生殖道Ct和Uu检出率、胚胎停育次数与感染的关系,数据采用SPSS 11.0软件进行统计分析。结果观察组孕妇Ct、Uu及Ct+Uu阳性率分别为58.50%、49.66%和40.14%,均高于对照组的14.62%、8.46%、4.62%,差异有统计学意义(P<0.05);logistic分析结果,孕妇胚胎停育发生率与Ct、Uu均相关,差异有统计学意义(P<0.05)。结论胚胎停育孕妇生殖道感染明显高于正常分娩的孕妇,且孕妇胚胎停育次数越多,生殖道Ct和Uu检出率越高,临床应积极加强预防,并对感染孕妇采取有效措施以降低胚胎停育的发生。OBJECTIVE To investigate the influence of Ct and Uu infections on embryo damage of pregnant women so as to provide clinical references for prevention and treatment of embryo damage.METHODS From Jan.2013 to Oct.2015,147 pregnant women suffered from embryo damage were selected as observation group.Another 130 normal pregnant women were chosen as control group in the same period.The detection rate of Ct and Uu,times of embryo damage and infection status were observed to find out their relationship.SPSS 11.0was explored for statistical analysis.RESULTS The positive rate of Ct,Uu and Ct＋Uu infection were 58.50%,49.66% and40.14% respectively in the observation group,higher than 14.62%,8.46%,and 4.62% in the control group,the differences were significant（P〈0.05）.Logistic Analysis showed that embryo damage incidence was related to Ct and Uu infection.The differences were significant（P〈0.05）.CONCLUSIONPregnant women suffered from embryo damage are obviously more susceptible to infections than normal pregnant women and more times the embryo damage happen,the higher the detection rate of Ct and Uu are.Prevention should be actively strengthened to reduce embryo damage.

关 键 词：孕妇 沙眼衣原体 解脲脲支原体 胚胎停育 生殖道 

分 类 号：R711.3[医药卫生—妇产科学]