孕期沙眼衣原体感染筛查与干预对母婴结局影响的临床分析  

Clinical analysis of effection for maternal and infant outcomes of screening and interfering for Chlamydia Trachomatis infection in pregnancy

作　　者：杨俊娟[1] 郭华峰[1] 

机构地区：[1]郑州市妇幼保健院,郑州450053

出　　处：《医药论坛杂志》2016年第2期15-17,共3页Journal of Medical Forum

基　　金：2013年河南省科技发展计划(132102310144)

摘　　要：目的研究孕妇行沙眼衣原体感染筛查和干预对母婴结局影响。方法对孕中晚期妇女进行沙眼衣原体筛查,并根据是否有沙眼衣原体感染及是否接受治疗分为三组。阳性未治疗者为阳性对照组(A组),阳性并接受治疗者为治疗组(B组),阴性者为阴性对照组(C组)。观察三组胎膜早破、早产、产褥病率、绒毛膜羊膜炎及新生儿感染比率。结果治疗组胎膜早破(18.8%)、产褥病率(4.4%)、绒毛膜羊膜炎(40.2%)、新生儿感染率(顺产10.2%、剖宫产0.8%)及早产(1.2%)较阳性对照组低,且差异均有统计学意义(P<0.05)。结论孕期衣原体筛查和干预可降低母婴并发症,具有重要的临床意义。Objective To study the effection for maternal and infant outcomes of screening and interfering for Chlamydia Trachomatis infection in pregnancy. Methods To screen second trimester and late pregnant women for Chlamydia Trachomatis,and the women were divided into three groups on the basis of Chlamydia Trachomatis Infection and whether were treated or not. Group A： The pregnant women who were infected Chlamydia Trachomatis and didn’t receive treatment. Group B： The pregnant women who were infected Chlamydia Trachomatis and received treatment. Group C： The pregnant women who were not infected Chlamydia Trachomatis. To compare the rates of the three groups of the premature rupture of membranes,preterm delivery,puerperal morbidity,chorioamnionitis and neonatal infection. Results The rates of the premature rupture of membranes（ 18. 8%）,puerperal morbidity（ 4. 4%）,chorioamnionitis（ 40. 2%）,neonatal infection（ natural delivery10. 2% 、caesarean0. 8%） and preterm delivery in the pregnant women who were treated were lower than that didn’t received treated,and the differences had statistically sense（ P 〈 0. 05）. Conclusions Chlamydia Trachomatis screening and interfereing in pregnancy can reduce maternal and children complications,and have important clinical implications.

关 键 词：沙眼衣原体 胎膜早破 早产 绒毛膜羊膜炎 产褥病率 新生儿感染 

分 类 号：R691.3[医药卫生—泌尿科学]