妊娠期淋病治疗对妊娠结局的影响分析  

Analysis on influence of gonorrhea treatment during pregnancy on pregnancy outcome

作　　者：章晓阳 江建雄 金如钧 孙丽萍 徐红儿 

机构地区：[1]浙江省临安市人民医院皮肤性病科,311300 [2]浙江省临安市人民医院妇产科,311300

出　　处：《重庆医学》2016年第13期1782-1783,1786,共3页Chongqing medicine

基　　金：2013年浙江省卫生厅一般项目(2013KYB210)

摘　　要：目的探讨妊娠期淋病治疗对妊娠结局影响分析。方法选择2008年1月至2015年6月该院妊娠期淋病患者55例,按照治疗方式分为妊娠组与终止妊娠组,妊娠组33例患者治疗后继续妊娠,终止妊娠组22例终止妊娠,选择同期55例正常分娩孕妇作为对照组。对比妊娠组及终止妊娠组患者治愈率,对比妊娠组及对照组孕妇妊娠结局。结果妊娠组与终止妊娠组治疗6个月后全部治愈,治疗后1周、6个月治愈率两组比较,差异无统计学意义(P>0.05)。妊娠组治疗后3个月复发率为21.21%,略高于终止妊娠组,但差异无统计学意义(P>0.05)。妊娠组与对照组均无新生儿淋病、新生儿淋菌性咽炎发生,两组早产、新生儿窒息、低体质量儿、新生儿感染、产后出血发生率比较,差异无统计学意义(P>0.05)。妊娠组不良妊娠结局发生率为9.09%,对照组为7.27%,差异无统计学意义(P>0.05)。结论妊娠早期、中期淋病患者经过规范抗菌药物治疗可安全分娩,对妊娠结局无明显影响。Objective To investigate the influence of gonorrhea treatment during pregnancy on the pregnancy outcome. Methods Totally 55 patients with gonorrhea during pregnancy in our hospital from January 2008 to June 2015 were selected and divided into the pregnancy termination group and the pregnancy group according to the treatment mode. The pregnancy group （33 cases） continued the pregnancy after treatment, while the pregnancy termination group （22 cases） terminated the pregnancy after treatment. Contemporaneous 55 pregnant women of normal delivery were selected as the control group. The cure rates were compared between pregnancy group and pregnancy termination group, and the pregnancy outcomes were compared between the control group and pregnancy group. Results The pregnancy termination group and pregnancy group were all cured after 6-month treatment, the cure rates had no statistically significant difference between 1-week treatment and 6-month treatments （P〉0.05）, the relapse rate after 3-month therapy in the pregnancy group was 21.21% ,which was slightly higher than that in the termination pregnancy group,but the difference between the two groups was not statistically significant （P〉0.05） ;the pregnancy group and the control group had no case of neonatal gonorrhea and neonatal gonococcal pharyngitis occurrence, the incidence rates of premature birth, asphyxia, low birth weight neonates, neonatal infections, and postpartum hemorrhage no statistically significant differences between the two groups （P〉0.05） ,the adverse pregnancy outcome incidence rate was 9. 09% in the pregnancy group and 7.27% in the control group,the difference was not statistically significant（P〉0.05）. Conclusion dle pregnancy can get safe delivery after the standardized antibiotic therapy,which has

关 键 词：淋病 妊娠并发症 妊娠结局 

分 类 号：R714.259[医药卫生—妇产科学]